
Hemorrhoids (commonly called piles) are swollen or inflamed anal cushions that line the anal canal. They may occur internally (above the dentate line), externally (below the dentate line), or as mixed (interno-external) piles also Hemorrhoids is a very common anorectal disease defined as the symptomatic enlargement and/or distal displacement of anal cushions. The most common symptom of hemorrhoids is bright red blood covering the stool, on toilet paper or in the toilet bowl. Hemorrhoids are found both in men and women. About half of all people have hemorrhoids by age 50.
Laser treatment of Haemorrhoids is a new, highly effective, scientifically proven procedure with much more precision and accuracy. A LASER hemorrhoidectomy is a procedure that employs laser energy for the treatment of hemorrhoids. When this treatment is applied, a Diode laser is used which leads to reduction in blood supply to Anal Cushions, Shrinkage of piles mass and coagulation.
The most common cause in middle and old age is chronic constipation, but several factors can contribute:
Patients with hemorrhoids may experience:
Grade | Description |
---|---|
Grade I | Prominent blood vessels, no prolapse |
Grade II | Prolapse during stool, but reduces on its own |
Grade III | Prolapse requires manual reduction |
Grade IV | Permanently prolapsed and irreducible |
A doctor will take a history and do a painless physical or proctoscopic exam to confirm the type and grade of piles.
Pile treatment depends on how advanced the condition is—early-stage piles often improve with diet and simple treatments. At the same time, more severe grades may need procedures like injections, rubber banding, or advanced laser surgery for lasting relief.
Laser Suitability: ❌ Not Needed
Both injection treatment and IRC are daycare procedures often referred to as “Office Procedures”.
These piles stay inside and do not come out. So, laser treatment is not required at this stage. With small changes and simple treatments, most patients feel better quickly.
Laser Suitability: ✅ Highly Effective
This is the perfect stage for laser treatment. It is quick and bloodless, and patients go home the same day.
Laser Suitability: ✅ Ideal Choice
Laser is often the preferred option here – it avoids major cuts and offers quicker recovery with less discomfort.
Laser Suitability: 🟡 Possible in Select Cases
These are advanced piles. Laser can be helpful in some cases in experienced hands, especially for elderly or high-risk patients, but sometimes surgical removal is necessary.
Laser Hemorrhoidoplasty (LHP) is a minimally invasive, non-excisional treatment ideal for Grade II and III internal hemorrhoids. This technique inserts a radial fiber laser (1470 nm diode) into the hemorrhoidal tissue to coagulate and shrink the pile mass without cutting or removing any tissue.
Understand the difference in simple words before you decide.
Aspect | MIPH (Stapled Surgery) | Laser Surgery |
---|---|---|
Pain After Surgery | Moderate to severe pain, especially near the sensitive dentate line | Much less pain; most patients resume normal activities within 1–2 days |
Bleeding & Risks | Can cause staple-line bleeding, rectal perforation, or narrowing (stenosis) | Laser seals vessels – minimal bleeding; no staples, no risk of internal injury |
Recovery Time | It takes 7–10 days to feel normal; may require an overnight hospital stay | Back to work in 1–3 days; usually a daycare procedure |
Precision & Suitability | Best for circumferential internal piles; less effective for external/segmental piles | It can target each pile precisely and works for internal, external, or mixed piles. |
Comfort & Lifestyle | She may need dressings, pain control, and longer rest | No dressings needed; only sitz bath and ointments; quick return to routine |
Ideal For | Internal Grade III–IV with circular prolapse | Grades II, III, and IV are ideal for professionals, older people, and active people. |
Laser treatment of Haemorrhoids is a new, highly effective, scientifically proven procedure, empowering doctors with much more precision and accuracy. A LASER hemorrhoidectomy is a procedure that employs laser energy for the treatment of hemorrhoids. When this treatment is applied, a medical laser is used to heat the problematic vein, which essentially causes them to collapse and disintegrate. In this procedure, the hemorrhoid is completely vaporized with the use of carbon dioxide or a laser beam. The smaller sized beam of the laser improves the accuracy and the precision of the procedure. In addition, the thinness of the laser beam is a factor which contributes to swift and unimpaired healing after the procedure. There are various options for those who need treatment for hemorrhoids, including traditional surgery.
Laser surgery works from inside the piles using focused light. There is no external wound, skin cutting, or need for stitches.
Patients report minimal discomfort after laser treatment, unlike open surgery, which often causes pain for several days due to raw wounds.
The laser seals the blood vessels as it works, so there is hardly any bleeding during or after the procedure.
Most patients leave the same day and return to work in 1–3 days. Open surgery may need 10–15 days of recovery.
Since there are no open wounds, you do not need to visit the hospital daily for dressings—just regular sitz baths and medicines.
Laser is a clean, precise, and controlled procedure. There is minimal risk of infection or complications compared to traditional methods.
Unlike open surgery, which may remove healthy tissue around the piles, laser only targets the diseased veins, protecting your natural anatomy and reducing the risk of incontinence.
Laser piles surgery is a day-care procedure with a fast return to routine life, perfect for those who cannot take long leaves or tolerate open wounds.
You should see a doctor if:
Use stool softeners, and do not force motion.
Always dab gently with wet wipes or wash with water.
Limit toilet time to avoid unnecessary pressure.
Postpone lifting anything heavy for at least a week.
Let your body heal fully before resuming physical workouts.
Hemorrhoids Diet Plan – Simple, high-fiber, and healing-focused
❌ Foods to Avoid:
💧 Hydration Tips:
Dr. Kamal Gupta, known as the “Laser Man of India”, is a renowned expert in laser surgery for piles. At Karan Hospital, patients receive honest guidance, advanced laser treatments, and compassionate care for fast recovery and long-term relief.
Reach out to Dr. Kamal Gupta today for expert advice and modern, minimally invasive treatment options.
Certified Trained Specialist in Laser Proctology, Berlin, Germany
Travelling Fellowship St. Mark’s London, UK
Fellow International Society of University of Colon and Rectal Surgeons
Author of the text book on “Lasers in Proctology” , published by Springer