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Table 2 The Goligher classification for hemorrhoidal disease

From: Milligan–Morgan hemorrhoidectomy vs. hemorrhoid artery ligation and recto-anal repair: a comparative study

Degree

Description

I

Bleeding without prolapse

II

Hemorrhoids prolapse through the anus on straining but reduce spontaneously

III

Hemorrhoids prolapse through the anus on straining and require manual replacement

IV

Irreducible prolapsing hemorrhoids, acutely thrombosed or incarcerated hemorrhoids