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Advanced Laser Treatment For Piles, Fissures & Fistula

By Dr. Pradeep Chowbey in Laparoscopic / Minimal Access Surgery , Robotic Surgery

Jan 22 , 2024 | 5 min read


The modern proctology clinic at Max Hospitals has initiated a transformative approach towards treating anorectal conditions, focusing on advanced laser-based treatments. This initiative aims to alleviate patients' fears of traditional surgical methods, particularly for ailments like piles (haemorrhoids), fissures, and fistulas. The prevalence of these conditions, often shrouded in silence due to societal taboos and fear of surgery, underscores the necessity of innovative, less invasive treatment methods like laser treatment for piles, laser treatment for fistula, and laser treatment for fissures.

At Max Hospitals, recognized as a leading piles hospital, over 75% of patients are treated without traditional surgery, due to modern techniques like laser therapy. This introduction of laser

technology marks a significant milestone in proctological treatments, offering a blend of efficacy, comfort, and swift recovery.

What is a Laser Treatment?

Laser treatment in proctology represents a groundbreaking technological advancement, utilising high-precision lasers like the Diode Laser 980nm/1470nm 15W for the treatment of anorectal disorders. This minimally invasive procedure, conducted as a day-care intervention, presents substantial advantages over conventional surgeries.

It entails the targeted application of laser energy directly to the affected areas, ensuring precise laser treatment for piles, laser treatment for fistulas, and laser treatment for fissures while minimising tissue damage. The use of advanced laser technology not only amplifies the efficacy of the procedure, but also significantly reduces recovery time, establishing it as the preferred choice for both patients and physicians.

What are Piles?

Piles, also known as haemorrhoids, are characterised by swollen veins in the lower rectum and anus, often attributable to heightened pressure in the lower rectum. This prevalent condition can be triggered by a variety of factors, such as straining during bowel movements, prolonged periods of sitting, obesity, and pregnancy. Piles are typically classified into two types: internal, manifesting within the rectum, and external, located under the skin around the anus. A comprehensive understanding of the nature and causes of piles is imperative for the judicious selection of an appropriate treatment method.

Symptoms of Piles

Piles, or haemorrhoids, manifest with various symptoms that can affect a person's daily life. Understanding these symptoms is crucial for early detection and effective piles treatment. Here are the key symptoms:

  • Bleeding: Noticeable during bowel movements; usually painless, but can be alarming.
  • Itching and discomfort: Persistent irritation in the anal region.
  • Pain: Especially common with external piles when sitting or during bowel movements.
  • Swelling: Presence of a lump near the anus, which may be sensitive or painful.
  • Rectal pain: A feeling of discomfort inside the rectum, especially when sitting.

Laser Treatment of Piles

Utilising laser surgery for haemorrhoids stands out as the safest and most efficient method for treating haemorrhoids. By harnessing laser energy, this procedure effectively shrinks and coagulates hemorrhoidal tissue, with no impact on adjacent healthy tissues.

Conducted on an outpatient basis, laser surgery is a minimally invasive approach, minimising post-operative discomfort and facilitating a comparatively brief recovery period.

What are Fissures?

An anal fissure is a small tear in the thin, moist lining of the lower rectum. This condition is frequently induced by the passage of large or hard stools during a bowel movement. Fissures can result in considerable discomfort and are occasionally linked with other anorectal conditions.

Symptoms of Fissures

Anal fissures are characterised by certain distinct symptoms, which can be quite painful. Key symptoms include:

  • Severe pain: Intense pain during and after bowel movements.
  • Bleeding: Small amounts of bright red blood on toilet paper or in the toilet.
  • Anal spasms: Involuntary spasms of the anal sphincter, increasing pain and discomfort.
  • Visible tear: A small cut or tear visible in the skin around the anus.
  • Chronic symptoms: Persistent pain, bleeding, and discomfort over weeks or months.

Laser treatment of Fissures

In laser treatment for anal fissures, patients are anaesthetised as a small probe, guided by imaging, is inserted into the anal canal. Laser energy is then directed through the probe, targeting and treating the fissure.

The controlled application of thermal energy aids in healing and sealing the fissure. This minimally invasive procedure aims to reduce pain and promote faster recovery compared to traditional surgical methods.

What is an Anal Fistula?

An anal fistula is characterised by an abnormal passageway extending from the interior of the anus to the external skin. This condition typically originates in the upper section of the anus, where the anal glands are situated. The development of an anal fistula occurs when these glands become infected, leading to the formation of a fistula. The infection responsible for this condition is termed a perianal abscess. Occasionally referred to as a perianal fistula, the term "perianal" denotes the region around the anus.

Symptoms of Fistula

Fistulas present a unique set of symptoms that are often persistent and require medical attention. These symptoms are key indicators for diagnosis:

  • Recurrent abscesses: Frequent development of painful, pus-filled abscesses.
  • Anal discomfort: Constant pain and swelling around the anus.
  • Discharge: Ongoing discharge of pus or blood from an opening near the anus.
  • Skin irritation: Irritation and redness around the anus, sometimes accompanied by fever.
  • Chronic condition: Persisting symptoms, often needing medical intervention.

Laser Treatment of Fistula

In laser treatment for an anal fistula, the patient is generally anaesthetised. A small probe, guided by an endoscope or other imaging methods, is subsequently introduced into the fistula tract.

The probe delivers laser energy, which is directed to target and eliminate tissues along the fistula tract. The controlled thermal injury caused by the laser effectively closes off the fistula tract.

Benefits of Laser Treatment at Max Hospitals

The laser treatments at Max Hospitals provide numerous benefits, setting a high standard in patient care and treatment efficacy. Here are the specific advantages: 

  • Low pain score: Designed to minimise patient discomfort during and after the procedure.
  • Immediate resumption of work: Patients can often resume normal activities almost immediately post-treatment.
  • Preservation of anal sphincter action: Ensures the functionality of the anal sphincter, preventing incontinence or faecal leaks.
  • Minimal risk and bleeding: Significantly reduced risk of complications, including minimal bleeding.
  • Efficiency of procedure: Procedures are typically completed within 10 to 15 minutes, maximising convenience for the patient.
  • Same-day procedure: Most treatments are conducted on an outpatient basis, allowing patients to return home the same day.
  • Reduced postoperative discomfort: Patients experience less discomfort post-surgery, aiding a smoother recovery.
  • Faster recovery: The swift recovery process enables a quicker return to daily life.
  • Overall patient satisfaction: High success rates and the non-invasive nature of the treatment lead to happier patients.


At Max Multi-Speciality Centre, our surgeons utilise leading-edge laser technology to provide effective, minimally invasive, and compassionate care to patients. By choosing our state-of-the-art laser treatments for piles, fistulas, and fissures, patients can experience significant relief from anorectal conditions with minimal inconvenience and a quick return to their daily lives. We invite you to reach out to us for more information or to schedule a consultation to receive the best possible care for your anorectal health needs.