Abstract: The aims of this population study were to assess the lockdown impact on patients waiting
for hemorrhoidal surgery, and the role of telemedicine in patient management. All patients on
our waiting list for hemorrhoidal surgery were considered. Eligible patients were contacted by
phone. Rørvik score was evaluated and compared to the baseline score. Univariate and multivariate
analyses were performed. A numeric rating scale was used to estimate patient satisfaction regarding
telemedicine. One-hundred and ten patients were found to be eligible. Finally, 103 patients were
included in the study of whom 16 (15.3%) were already considered for priority surgery. Patients waiting
for a longer time showed significantly worse scores (p < 0.001). After telemedicine evaluation the
priority waiting list increased by 43.8% (plus 23 patients). Weight loss of at least 3 kg and physical
activity were found to be protective factors (p = 0.02 and p = 0.002 respectively). A high grade
of satisfaction (almost 80%) towards telemedicine was registered. COVID-19-related delays are
linked to a deterioration of hemorrhoidal symptoms and patients’ well-being. Weight and lifestyle
changes were deemed key factors in determining disease severity. Telemedicine was a valuable tool to
evaluate and re-evaluate patients waiting for hemorrhoidal surgery and was considered satisfactory
by patients