Articles Vol. 67 No. 9 25/09/2026

APPLICATION OF THE BPRST CLASSIFICATION IN THE DIAGNOSIS AND TREATMENT OF HEMORRHOIDS AT SAINT PAUL GENERAL HOSPITAL

Nguyen Ngoc Dan, Nguyen Tri Cuong, Chu Hoang Long
DOI: 10.52163/yhc.v67i9.6618
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Abstract

Objective: To evaluate the outcomes of applying the BPRST classification in the diagnosis and management of hemorrhoidal disease.

Subjects and methods: A prospective longitudinal descriptive study was conducted on 199 patients diagnosed and treated for hemorrhoids at the Hanoi High-Tech and Digestive Center, Saint Paul General Hospital, from March to August 2024.

Results: The mean age of the patients was 43.6 ± 17.0 years, with females accounting for 56%. The proportions of patients in stages I, II, and III according to the BPRST classification were 14.6%, 42.7%, and 42.7%, respectively. The BPRST classification demonstrated a strong positive correlation with the Goligher classification (Kendall’s tau-c = 0.62, p < 0.001). The agreement on surgical indications between the BPRST classification and European-American guidelines was high, with a Cohen’s Kappa coefficient of 0.849, which was superior to that of Goligher (Kappa = 0.448). Based on the BPRST classification, treatment efficacy in the cohort that met surgical indications but refused surgery was significantly poorer compared to the cohort indicated for conservative (non-surgical) management from the outset (p < 0,05).

Conclusion: The BPRST classification aligns management strategies more closely with European-American guidelines than the Goligher classification.

Keywords
BPRST classification, hemorrhoids.
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