Classification of Internal Hemorrhoids
Grade | Features |
|---|---|
I | Prominent hemorrhoids No prolapse |
II | Prolapse after a Valsalva maneuver Prolapse reduces spontaneously |
III | Prolapse after a Valsalva maneuver Prolapse needs manual reduction |
IV | Chronic prolapse Manual reduction of prolapse ineffective |
Adapted from the American Society of Colon and Rectal Surgeons’ 2018 clinical practice guidelines for the management of hemorrhoids. | |
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