Piles Treatment – Advanced Laser Surgery & Its Benefits

Piles (hemorrhoids) are a common yet often overlooked anorectal condition caused by swollen tissues and blood vessels in the rectal region. Symptoms may include pain, itching, and bleeding, affecting daily life.

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What Are Piles?

Piles, also known as hemorrhoids, are swollen veins in the anus and lower rectum. They can be internal (inside the rectum) or external (around the anal opening), causing discomfort, itching, pain, and sometimes bleeding.

While piles can affect anyone, studies show that individuals aged 50 to 60 years are at higher risk. In most cases, piles can be managed with simple lifestyle changes, including:
✔ High-fiber diet to prevent constipation
✔ Staying hydrated for smooth bowel movements
✔ Good hygiene practices to avoid infections
✔ Over-the-counter creams & ointments for symptom relief

• Disease Name

Piles (Hemorrhoids)

• Surgery Name

Haemorrhoidectomy

• Duration

15 to 20 minutes

• Treated by

General Surgeon

Benefits of Piles Laser Treatment

FeaturesOpen SurgeryLaser Surgery
CutsMultipleMinimal
Scars & StitchesMultipleMinimal
ProcedurePainfulMinimal Pain
Blood LossHighLow
Infection ChancesHighMinimal
RecoveryBed RestFast Recovery
Hospital DurationLongShort
TechnologyOutdatedAdvanced

What Are The Types and Grades Of Piles?

TypeDescriptionSymptomsTreatment Options
Internal PilesDevelop inside the rectumBleeding, itching, discomfortLifestyle changes, medications, laser surgery
Grade 1Small, no protrusionUsually no symptomsConservative treatment
Grade 2Protrudes but retracts on its ownMild discomfortRubber band ligation, sclerotherapy
Grade 3Requires manual repositioningPain, itching, bleedingLaser surgery, sclerotherapy
Grade 4Permanently prolapsedSevere pain, thrombosis riskLaser surgery, stapled hemorrhoidectomy
External PilesForm outside the anusLumps, pain, itchingMedications, laser surgery, stapled hemorrhoidectomy

How Can Piles Be Diagnosed?

Diagnostic MethodDescription
Medical HistoryAssessment of symptoms, medical history, and previous occurrences of piles.
Physical ExaminationVisual and manual examination of the anal region for external and internal piles.
Digital Rectal Exam (DRE)Insertion of a lubricated, gloved finger to check for internal piles and abnormalities.
Anoscopy / ProctoscopyUse of a lighted tube to closely examine the anal canal and rectum.
SigmoidoscopyFlexible or rigid scope used to inspect the lower colon and rectum.
ColonoscopyFull colon examination to rule out other causes of rectal bleeding.

What Are The Different Treatment Options For Piles?

There are various treatment options available for piles, categorized into non-surgical and surgical methods. Among non-surgical treatments, rubber band ligation involves placing a small rubber band around the base of the piles to cut off blood supply, causing them to shrink and fall off within a few days. Sclerotherapy is another approach where a chemical solution is injected into the piles to shrink them, leading to a faster recovery compared to surgery. Infrared photocoagulation uses infrared light to create scar tissue, making the piles shrink, and has an almost immediate recovery time. Similarly, electrocoagulation uses an electric current to cauterize blood vessels, destroying the piles, though recovery time varies for each patient.

Surgical treatments include open surgery, a traditional method where the piles are surgically removed through an incision, requiring weeks to months for complete recovery. Stapler surgery uses a stapling device to remove prolapsed piles with minimal pain and a quicker recovery with fewer complications. The most advanced method is laser surgery, which uses minimally invasive laser energy to shrink piles with precision, offering the shortest recovery time among all surgical options.

Comparison between Open Surgery, Laser Surgery, and Stapler Surgery

FactorsOpen SurgeryLaser SurgeryStapler Surgery
AnesthesiaGeneralLocalGeneral
IncisionInvasiveMinimally-invasiveMinimally-invasive
Recovery TimeLongShortShort
BleedingHigh riskMinimalMinimal
Complications HighMinimalMinimal
CostLessModerateHigh
Hemorrhoid Removal Surgically excisedVaporized or CoagulatedTissue is repositioned

Why is Laser Piles Treatment Considered the Most Effective Option?

  • Laser surgery, also known as laser hemorrhoidectomy, is a modern and minimally invasive procedure to treat piles with less pain, minimal bleeding, and faster recovery. It precisely targets the affected tissue, ensuring less damage to surrounding areas and reducing the risk of complications.
    Key Benefits of Laser Surgery for Piles
    🔹 Quick & Painless – The procedure takes about 30 minutes, and patients experience minimal discomfort.
    🔹 No Hospital Stay – You can return home the same day after surgery.
    🔹 Minimal Bleeding & Infection Risk – Laser cauterization reduces blood loss and lowers the risk of infection.
    🔹 Faster Healing – The precise laser technique promotes quick tissue recovery.
    🔹 High Success Rate – Effectively shrinks or removes piles, providing long-term relief from pain, itching, and bleeding.
    🔹 Low Risk of Recurrence & Incontinence – The procedure targets only piles tissue, avoiding damage to anal sphincter muscles.
    Why Choose Laser Surgery?
    If you’re looking for a safe, quick, and effective way to treat piles with minimal post-surgery discomfort, laser treatment is the best option!

Piles Surgery

How to Prepare for Piles Surgery?

Before undergoing piles treatment, your proctologist will provide important  preparation guidelianes to ensure a smooth and safe procedure.

Essential Precautions:

✅ Fasting: Avoid food and drinks 8-12 hours before surgery.
✅ Medication Alert: Stop blood-thinning medications (e.g., Warfarin) as advised.
✅ Hygiene: Take a shower but avoid lotions, perfumes, or shaving the surgical area.
✅ Jewelry & Accessories: Leave them at home to maintain sterile conditions.
✅ Bowel Preparation: Use laxatives or an enema to cleanse your colon.
✅ No Smoking or Alcohol: Refrain 3-4 days before surgery.
✅ Wear Comfortable Clothes: Loose-fitting attire for ease and comfort.
✅ Arrange Transportation: Have someone drive you home post-surgery due to possible dizziness or nausea.

Following these steps will help ensure a safe procedure and faster recovery! 🚑

Like any surgical procedure, piles surgery may have potential side effects and risks. Here are some possible side effects:

✅ Pain & Discomfort: Common after surgery, varying in intensity and duration based on the procedure.
✅ Bleeding: Mild bleeding is normal, but excessive or persistent bleeding should be reported to your doctor.
✅ Infection: Risk of infection at the surgical site; follow wound care instructions and take antibiotics if prescribed.
✅ Urinary Issues: Temporary difficulty or increased frequency in urination, which usually resolves on its own.
✅ Fecal Incontinence: In rare cases, there may be temporary or permanent loss of bowel control.
✅ Anal Stenosis: Narrowing of the anal canal, making stool passage difficult.

Proper post-surgery care helps reduce these risks and ensures a smoother recovery! 🚑

AdvantagesDisadvantages
✅ Minimally Invasive – Requires smaller incisions, leading to less pain and faster recovery.❌ Expensive – Costs more due to specialized equipment and expertise.
✅ Reduced Bleeding – The laser cauterizes blood vessels, minimizing blood loss.❌ Limited Availability – Not all healthcare facilities offer laser surgery.
✅ Precise Targeting – Targets hemorrhoidal tissue accurately, reducing damage to healthy tissue.❌ Chances of Recurrence – Hemorrhoids may return over time.
✅ Shorter Recovery Time – Recovery is quicker compared to traditional surgery.❌ Side Effects – Some patients may experience temporary pain, discomfort, or swelling.
✅ Reduced Risk of Complications – Lowers the chances of infection and tissue damage. 
 
 

A proctologist or a general surgeon is the best doctor for piles surgery. A proctologist specializes in diagnosing and treating conditions related to the colon, rectum, and anus, making them highly skilled in managing piles.

Diagnosis

For external piles, a physical inspection is usually enough for diagnosis. However, for internal hemorrhoids, the proctologist may perform a digital rectal examination (DRE) by inserting a gloved, lubricated finger into the rectum to check for abnormalities. To confirm the diagnosis, they may also use specialized instruments such as a proctoscope, anoscope, or sigmoidoscope for a detailed examination of the lower rectum.

Laser Surgical Treatment

Laser surgery for piles is a highly efficient and minimally invasive procedure. A focused narrow beam of laser light is used to ablate or shrink the hemorrhoid, ensuring minimal damage to surrounding tissues. This advanced technique leads to faster recovery, less pain, and reduced post-operative complications, making it a preferred choice for treating piles.

To ensure a smooth recovery after piles laser surgery, follow these essential guidelines:

  • Keep the surgical site clean to prevent infection.

  • Take sitz baths regularly to soothe the anal region.

  • Avoid lifting heavy weights to prevent strain on the surgical site.

  • Eat a nutritious, high-fiber diet and avoid oily and spicy foods.

  • Stay hydrated by drinking at least 8-10 glasses of water daily.

  • Avoid straining during bowel movements.

  • Use stool softeners if necessary (only after consulting a doctor).

  • Follow the prescribed medication regimen and apply any recommended ointments or creams.

Some effective non-surgical treatments for piles include:

Home Remedies

  1. High-Fiber Diet: Eating fiber-rich foods like fruits, vegetables, and whole grains can soften stools and reduce constipation.

  2. Topical Treatments: Over-the-counter creams or ointments with witch hazel or hydrocortisone can reduce itching and inflammation.

  3. Sitz Baths: Sitting in warm water for 10-20 minutes several times daily helps relieve discomfort and swelling.

  4. Hydration: Drinking 8-10 glasses of water per day prevents constipation.

  5. Stool Softeners: Help ease bowel movements but should be used under medical guidance.

  6. Proper Hygiene: Gently clean the anal region with soft, unscented wipes to avoid irritation.

  7. Exercise: Regular physical activity, including cardiovascular exercises and yoga, can improve bowel function and prevent piles.

Medications

  1. Pain Relievers: Acetaminophen or ibuprofen can help reduce pain.

  2. NSAIDs: Help alleviate pain and inflammation (should be used under medical supervision).

  3. Medications for Blood Circulation: Venotonic agents strengthen rectal blood vessels.

  4. Vasoconstrictors: Medications like phenylephrine shrink blood vessels and reduce swelling.

  5. Fibrinolytic Agents: Used in some cases to dissolve blood clots in external piles.

  6. Antibiotics: Amoxicillin-clavulanate is commonly prescribed for infected piles.

 
Foods to Eat

  • Flavonoid-Rich Foods: Citrus fruits, berries, and dark chocolate improve blood circulation.

  • Healthy Fats: Avocados, seeds, and olive oil aid digestion.

  • Probiotic Foods: Yogurt, kefir, and sauerkraut support gut health.

  • Hydration: Water and healthy fluids help prevent constipation.

  • Vegetables: Leafy greens, carrots, and broccoli enhance digestion.

  • Whole Grains: Brown rice, quinoa, and oats provide fiber.

  • Legumes: Lentils, chickpeas, and beans support bowel health.

  • Nuts and Seeds: Almonds, walnuts, and chia seeds reduce inflammation.

Foods to Avoid

  • Red and Processed Meat: Low in fiber, leading to constipation.

  • Spicy Foods: Aggravate inflammation and irritation.

  • Alcohol: Causes dehydration and constipation.

  • Processed Foods: Low in fiber and high in unhealthy fats.

  • Low-Fiber Foods: White bread, white rice, and plain pasta can worsen piles.

  • Sugary Foods: Excess sugar disrupts digestion and gut bacteria

  1. Keep the Anal Region Clean: Take sitz baths after bowel movements and gently clean with wet wipes.

  2. Limit Physical Activities: Avoid lifting heavy weights and strenuous activities for 2-3 weeks.

  3. Take Prescribed Medications: Follow your doctor’s instructions for pain relievers, antibiotics, and stool softeners.

  4. Apply Cold Compresses: Use ice packs wrapped in a cloth to reduce swelling and discomfort.

  5. Use Proper Sitting Techniques: Sit on a cushion or donut-shaped pillow to minimize pressure.

  6. Monitor Your Diet: Avoid junk, spicy, and oily foods to prevent constipation or diarrhea.

Some potential complications include:

  • Chronic pain and discomfort

  • Bleeding or blood clots

  • Infection in the anal region

  • Anemia due to excessive blood loss

  • Prolapsed hemorrhoids that may require medical intervention

FAQs Around Piles Treatment

How can I prevent piles during pregnancy?

Maintain a high-fiber diet, drink plenty of water, avoid prolonged sitting, and do regular exercises like walking or Kegels to improve bowel movement.

Yes, piles are common in males due to factors like chronic constipation, prolonged sitting, heavy weightlifting, and poor dietary habits.

  • Stapler Surgery: Less pain, quicker recovery, and minimal bleeding but slightly costlier.

  • Open Surgery: Traditional method, more painful, longer healing time, and requires more post-care.

  • Laser Surgery: Minimally invasive, almost painless, faster recovery, and lower risk of complications.

Most patients resume normal activities within 2-3 days, but complete healing may take 2-3 weeks depending on post-surgery care.

Mild bleeding for a few days is normal. If bleeding is excessive, prolonged, or accompanied by severe pain, consult your doctor.

Maintain proper hygiene, eat a fiber-rich diet, drink plenty of water, avoid straining during bowel movements, and follow your doctor’s medication and care instructions.

  1. What are the side effects of laser piles surgery?
    Temporary side effects may include mild bleeding, slight swelling, discomfort while passing stools, or minor infections if hygiene is not maintained.

  2. Is laser surgery the best treatment option for piles?
    Laser surgery is one of the most effective options for moderate to severe cases, offering faster healing, minimal pain, and a lower recurrence rate compared to other methods.

  3. Is piles operation safe?
    Yes, when performed by an experienced surgeon, piles surgery is generally safe with minimal complications. Following post-surgery care reduces risks further.

  4. Is surgery good for piles?
    Surgery is beneficial for severe or recurring piles that don’t respond to home remedies or medications. It provides long-term relief and improves quality of life.

  5. Are piles dangerous?
    Piles are not life-threatening, but if left untreated, they can cause excessive bleeding, severe pain, infection, or complications like anemia and thrombosed hemorrhoids.

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