Goligher classification

Surgery and anaesthesia

Also known as: Goligher-Klassifikation · Hämorrhoiden-Grade · Goligher sınıflaması · Goligher classification of internal haemorrhoids

What it is for

The Goligher classification grades internal haemorrhoids by the degree of prolapse and whether it reduces. Grades:

Classification

CategoryDescription
Grade Ienlarged cushions that may bleed but do not prolapse.
Grade IIprolapse on straining or defecation, reducing spontaneously.
Grade IIIprolapse that needs manual reduction.
Grade IVpermanently prolapsed, cannot be reduced.
Notethe grade reflects prolapse only, not symptom burden or external components.

Source

Surgery of the Anus, Rectum and Colon (5th ed.)

Baillière Tindall, London 1984 (Goligher JC)

Edition
Goligher grading (grades I–IV), standard since the 1980s
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Summary of the published classification in our own words. Not a substitute for the original publication.

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