Two needle paths, one goal: blocking hemorrhoid surgery pain
NCT ID NCT07813338
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Hemorrhoidectomy often causes severe pain, and doctors use pudendal nerve blocks to help. Researchers are testing whether a block placed higher up near the ischial spine works better than one placed lower near the perineum. Adults having elective hemorrhoid surgery receive one of the two ultrasound-guided blocks with ropivacaine. The trial measures opioid use over the first 48 hours and tracks pain, recovery, and complications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ropivacaine injected around the pudendal nerve using two different ultrasound-guided needle approaches
- What this could lead to
- If the proximal approach works better, it could give surgeons a more effective way to control pain after hemorrhoidectomy and cut down on opioid use during recovery.
- What could go wrong
- This is a single-center trial of 140 adults, so the results may not apply to all patients or hospitals. Nerve blocks can fail, cause temporary numbness, or carry small risks of bleeding or infection, and pain relief may not differ much between the two approaches.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 140 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria * Adults aged 18 years or older. * Scheduled for elective hemorrhoidectomy. * Hemorrhoidectomy performed using either the Milligan-Morgan or Ferguson technique. * ASA Physical Status I-III. * Able to understand the study procedures and provide written informed consent. * Able to complete postoperative pain and quality-of-recovery assessments. Exclusion Criteria * Chronic opioid use exceeding 30 mg morphine milligram equivalents per day. * Known allergy or contraindication to local anesthetics. * Coagulopathy or other contraindication to peripheral nerve block. * Infection at the planned injection site. * Pregnancy. * Cognitive impairment preventing reliable completion of study questionnaires or pain assessments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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