Laser Piles Surgery

Laser piles surgery, also known as laser hemorrhoidectomy or laser hemorrhoidoplasty, is a minimally invasive surgical procedure that uses laser energy to treat hemorrhoids. Hemorrhoids are swollen and inflamed blood vessels in the rectal area that can cause discomfort, pain, bleeding, and other symptoms.

Advantages of Laser Surgery

  • Minimally invasive: Laser energy allows for precise targeting of hemorrhoidal tissue while minimizing damage to surrounding healthy tissue.
  • Reduced bleeding: The laser’s ability to coagulate blood vessels during the procedure helps reduce bleeding.
  • Faster recovery: Laser surgery typically results in less postoperative pain and discomfort, with a quicker return to normal activities compared to traditional surgery.


During laser piles surgery, the surgeon inserts a laser fiber into the affected area through an anoscope or proctoscope. The laser energy is then applied to the hemorrhoidal tissue, causing it to shrink or vaporize.

Postoperative Care

Following laser piles surgery, patients may experience mild discomfort, bleeding, or swelling, which can be managed with pain medications, stool softeners, and dietary modifications. It is essential to follow the postoperative instructions provided by the surgeon, which may include recommendations for diet, hygiene, and activity restrictions.


Laser piles surgery can provide effective relief from hemorrhoidal symptoms, including pain, bleeding, and swelling. However, it is important to note that the recurrence of hemorrhoids is possible, especially if lifestyle factors contributing to the development of hemorrhoids, such as constipation or straining during bowel movements, are not addressed.

Laser Piles Surgery Procedure

» Preparation: Before the surgery, your doctor will assess your medical history, perform a physical examination, and may order diagnostic tests to confirm the presence and severity of hemorrhoids. You may be required to undergo bowel preparation, which involves emptying the colon through dietary modifications or laxatives.
» Anesthesia: Laser piles surgery can be performed under various types of anesthesia, including local anesthesia, regional anesthesia (such as spinal or epidural anesthesia), or general anesthesia. The choice of anesthesia depends on factors such as patient preference, the extent of the procedure, and the surgeon’s recommendation.
» Procedure: During the surgery, the surgeon uses a laser device to precisely target and treat the hemorrhoidal tissue. The laser energy is delivered through a small probe or fiber, which is inserted into the anus. The laser energy selectively vaporizes or coagulates the hemorrhoidal tissue, sealing off blood vessels and causing the hemorrhoids to shrink or disappear.
» Recovery: Laser piles surgery is typically performed on an outpatient basis, allowing you to go home on the same day. The recovery period is usually shorter compared to traditional hemorrhoidectomy procedures. You may experience some discomfort, pain, or swelling in the treated area, but these symptoms are generally manageable and tend to resolve within a few days to a week. Your doctor may prescribe pain medications, stool softeners, and dietary recommendations to ease your recovery.
» Follow-up care: It is important to follow your doctor’s post-operative instructions carefully. This may include maintaining good hygiene, taking prescribed medications, eating a high-fiber diet, staying hydrated, avoiding straining during bowel movements, and engaging in light physical activity. Your doctor will schedule follow-up appointments to monitor your healing progress and address any concerns or complications that may arise.

During Surgery

Piles or Hemorrhoids are enlarged, bulging blood vessels in and around the anus and lower rectum. The rectum is the bottom section of your colon (large intestine). The tissues supporting the vessels stretch. As a result, the vessels expand, the walls thin and bleeding occurs. When the stretching and pressure continue, the weakened vessels protrude. The two types of hemorrhoids, external and internal, refer to their location.

Thrombosed external hemorrhoids are blood clots that form in an outer hemorrhoid in the anal skin. If the clots are large, they can cause significant pain. A painful anal mass may appear suddenly and get worse during the first 48 hours. The pain generally lessens over the next few days. You may notice bleeding if the skin on top opens.

Internal (inside) hemorrhoids form within the anus beneath the lining. Painless bleeding and protrusion during bowel movements are the most common symptoms. However, an internal hemorrhoid can cause severe pain if it is completely prolapsed. This means it has slid out of the anal opening and cannot be pushed back inside.

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