HELO Trial: Energy-Based Therapies vs. Conventional Hemorrhoidectomy for Grade III Hemorrhoids
NCT07333040 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-01-12
Summary
This prospective, multicenter study compares the efficacy and functional outcomes of three surgical treatments for symptomatic Goligher Grade III internal hemorrhoids: Laser Hemorrhoidoplasty (LHP), Hemorrhoid Energy Therapy (HET), and conventional closed hemorrhoidectomy (Ferguson technique). Due to strong patient preferences in hemorrhoidal surgery, this study utilizes a pragmatic, preference-tolerant design. Eligible patients will undergo standardized counseling and select their preferred treatment arm. The study aims to evaluate whether minimally invasive energy-based therapies offer superior postoperative pain relief and faster functional recovery compared to conventional hemorrhoidectomy
Conditions
- Hemorrhoids Third Degree
- Internal Hemorrhoids
- Mixed Hemorrhoids
Interventions
- PROCEDURE
-
Laser Hemorrhoidoplasty (LHP)
1470nm or 980nm diode laser ablation
- PROCEDURE
-
Hemorrhoid Energy Therapy (HET)
Bipolar radiofrequency coagulation using HET™ system
- PROCEDURE
-
Ferguson Hemorrhoidectomy
Standard closed excisional hemorrhoidectomy
Sponsors & Collaborators
-
Taiwan Colorectal Action Research, TCAR
collaborator UNKNOWN -
Chang Gung Memorial Hospital, Keelung
collaborator UNKNOWN -
Jen-Ai Hospital Institutional Review Board
collaborator INDUSTRY -
New Taipei City Hospital
collaborator OTHER -
Chang Gung Memorial Hospital
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-01
- Primary Completion
- 2027-05-01
- Completion
- 2028-03-01
Countries
- Taiwan
Study Locations
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