Table 1.

Subjective hemorrhoidal disease classification.

Classification	Advantage	Disadvantage	Treatment relevance	Reproducibility	Practicality	Assessment value
HSS	The first subjective survey question to be asked paper; good responsiveness;	No satisfaction assessment; not associated with treatment modality		⋆	⋆	⋆⋆
Symptom questionnaire	Comprehensive	Not associated with treatment modality; lack of evidence-based medical evidence			⋆	⋆
PSS	Suitable for all patients with rectal disease	Not associated with treatment modality;		⋆	⋆	⋆⋆
HEMO-FISS-Qol	The only questionnaire that deals with sexuality; for patients with hemorrhoids and anal fissures	No reactivity testing; not associated with treatment modality; no comparison of scores between patients with outpatient and surgically removed hemorrhoids		⋆	⋆	⋆⋆
HDSS & SHSHD	Combining symptoms with patient satisfaction; reliability and validity are complete and reliable	Not associated with treatment modality		⋆	⋆	⋆⋆
The Sodergren score	Ability to assess the severity and frequency of hemorrhoid symptoms	No satisfaction assessment	⋆	⋆	⋆	⋆⋆⋆
PROM-HISS	Good structural properties, internal consistency, and construct validity; comprehensive	Not associated with treatment modality		⋆	⋆	⋆⋆

If the hemorrhoidal disease classification fully satisfies the corresponding necessary factors ⋆; if the hemorrhoidal disease classification partially satisfies the corresponding necessary factors ✰; if the hemorrhoidal disease classification does not satisfy the corresponding necessary factors, no indication is given. HSS, Hemorrhoid Severity Score; PSS, Proctological Symptom Scale; HEMO—FISS-QoL, Hemohorrids Fissures Quality of Life; HDSS, Hemorrhoidal Disease Symptom Score; SHS_HD, Short Health Scale adapted for hemorrhoidal disease; PROM-HISS, Patient Reported Outcome Measure-Hemorrhoidal Impact and Satisfaction Score.