Haemorrhoids is a common colorectal disease. Worldwide Prevalence is estimated at 4.4% in the general population. The mainstay of treatment is surgery, Stapled haemorrhoidopexy is a growing technique. Trials shown that it is effective with the advantages of less pain, discharge, bleeding and an earlier return to work. However, some doubts regarding the anal sphincters injury is still present. Patients and methods: Thirty randomly selected patients,with 3rd degree haemorrhoids,were allocated into two groups; stapledhaemorrhoidopexy group and open haemorrhoidectomy group. Preoperative and one-month postoperative, Transanal Three-dimensional ultrasonography wasdone for the assessment of the anal sphincter integrity. Continence assessement was done one and six months postoperatively by Wexner continence score. Results: There was no statistically significant difference in Wexnarcontinence score for both groups one and six months postoperatively in term of continence. However there was a better recovery in stapled haemorrhoidopexy group after six month. On assessment of the internal anal sphincter, there was no statistically significant difference between pre and postoperative internal sphincter thickness among both openhaemorroidectomy group (Mean±SD: 2.39±0.65 to 2.34±0.53mm) and stapled haemorrhoidopexygroup (Mean ± SD: 2.61 ± 0.64 to 2.61± 0.64 mm). Conclusion: the present study showed that both procedures are safe effective surgical procedures for treatment of hemorrhoidectomy.