SHAPE vs. Milligan-Mordon hemorrhoidectomy for advanced hemorrhoids
Official title: Early Outcomes of Skin-Sparing Hemorrhoidectomy and PExy (SHAPE) Versus Milligan-Morgan Hemorrhoidectomy for Hemorrhoidal Disease: A Randomized Controlled Trial
Run by Cairo University · NCT07598630 · Data updated 2026-11-12
This trial tests whether Skin-Sparing Hemorrhoidectomy and PExy (SHAPE) works as well as the conventional Milligan-Morgan procedure for adults with severe hemorrhoids.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 68 (estimated) |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Cairo, Al-Manial, Cairo, Egypt) |
| Status | Recruiting |
| Started | May 24, 2026 |
| Main results expected | January 1, 2027 |
| Study ends | January 1, 2027 |
| Registry record updated | May 20, 2026 |
| Trial ID | NCT07598630 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults over 18 with third- or fourth-degree hemorrhoids who consent and do not have inflammatory bowel disease, anal stenosis, colorectal cancer, or fecal incontinence.
✕Probably not a fit
Patients with the specified exclusion criteria or conditions not responsive to the surgical approaches may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled trial compares two surgical approaches for third- and fourth-degree hemorrhoids at Kasr Al-Ainy Teaching Hospital, Cairo University. Adults over 18 who meet criteria will be assigned to SHAPE or Milligan-Morgan hemorrhoidectomy after preoperative evaluation. Postoperative care includes early fluids, with discharge typically on day one if recovery is uneventful. Exclusion criteria include inflammatory bowel disease, anal stenosis, colorectal malignancy, or fecal incontinence. The study aims to determine differences in outcomes such as symptom relief and recovery between the two techniques.
Why it matters
Potential benefit: If SHAPE proves at least as effective and safe as Milligan-Morgan, patients could benefit from comparable disease control with potential improvements in recovery or pain.
How similar studies have gone: Little evidence is available in this setting; the trial explores a direct comparison to establish applicability and efficacy.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All patients with third- and fourth-degree piles, and their age greater than 18 years old Exclusion Criteria: * Patients with inflammatory bowel disease. * Patients with anal stenosis * Patients with colorectal malignancy * Patient with fecal incontinence
Where it's running
-
Faculty of medicine, Cairo University
Cairo, Al-Manial, Cairo, Egypt, Egypt Recruiting
Study contacts
- Study coordinator: Ahmed Mohamed Abdelaal, MD
- Email: drabdelaal90@gmail.com
- Phone: +201118732767
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.