Objective : This study was designed to evaluate the effectiveness of stapler hemorrhoidectomy (SH)  in terms of cure of the symptoms and post–operative pain control.

Material and Methods : In this prospective clinical study, SH  was performed for all patients with grade III and grade IV hemorrhoids, presenting to the surgical department of  Indira Gandhi Institite of Medical Sciences, Patna . The results of SH were evaluated by a questionnaire focusing on the relief of symptoms, severity of post operative pain and complications of SH.

Results : 35 patients (25  males and 10 females); with a mean age of 39.6 years were recruited in this study. 30 (85.71%) patients had grade  III and 5  (14.28%) patients presented with grade 1V hemorrhoids. Perianal prolapse was the most frequent presentation reported in 23 (65.71%). Mean operating time was 21.7 minutes (range; 17–36 minutes) whereas mean hospital stay was 1.9 days. Post–operative pain was tolerable (non–persistent) in 33 (94.28%) cases whereas 2 (5.71%) experienced mild pain requiring additional analgesia. Urinary retention was the most common complication found in 5 (14.28%) patients. All patients were cured of the hemorrhoids                         Conclusion  : SH is a safe, rapid  and convenient surgical remedy for grade III and grade IV hemorrhoids with low rate of complications, minimal postoperative pain  and early discharge from the hospital.