Laser Treatment for Piles (Haemorrhoids): Procedure, Recovery, and Risks | Max Hospital

A Complete Guide to Laser Treatment for Piles

By Medical Expert Team

Feb 01 , 2024 | 5 min read


For many patients, the morning trip to the toilet is an ordeal, associated with pain and bleeding while passing stools. They may have piles, which could also be accompanied by painful anal fissures. Patients also often have to experience the discomfort associated with the embarrassment of a pus discharge in the perianal region or back, which points towards the possibility of a fistula–in-ano or a pilonidal sinus. In such cases, people are reluctant to discuss these issues due to embarrassment and suffer silently for years without seeking treatment. Hundreds of medical therapies are offered in the market under various systems of medicine – allopathic or otherwise, and yet they only bring temporary relief from the symptoms. The problem invariably recurs.

The definitive treatment for piles is typically surgery, which involves cutting in the affected areas. The procedure is not only painful, it involves a prolonged recovery and multiple dressings and visits to the clinic. Despite undergoing so much discomfort, there is a significant risk of recurrence. Laser surgery, however, is less invasive, and utilised in case of piles treatment, it can make the whole experience much better. No tissues need to be cut. The affected area is simply treated with laser energy in a precise and focused manner and the problem is solved within a few minutes. Patients can resume their normal lives immediately after the laser treatment for piles. 

As a result, laser treatment for piles has gained popularity for its ability to precisely target affected areas, reducing pain and promoting faster healing.

What Is Laser Treatment for Piles?

Laser haemorrhoidectomy, also referred to as haemorrhoid laser treatment, represents an innovative surgical technique designed to address the pain and complications associated with haemorrhoids. The cost of this treatment may vary depending on factors such as geographical location, the reputation of the medical facility, and the severity of the condition. Nevertheless, many patients discover that the benefits often outweigh the expense. 

This advanced method utilises a highly-focused laser device that emits precise and potent light energy, targeting the problematic tissue. By either vaporising or coagulating the haemorrhoidal tissue with high-intensity light, the procedure effectively reduces the size of the haemorrhoids, providing significant relief to patients.

How Is Laser Surgery for Piles Better than Conventional Surgery? 

Laser surgery for piles presents numerous laser piles treatment advantages over traditional methods. It effectively treats various medical conditions, including haemorrhoids, anal spasms, and fissures. The primary benefits are:

  • Sutureless treatment with no scarring.
  • Rapid recovery without the need for cuts or stitches.
  • Prompt relief from symptoms.
  • Minimal blood loss during surgery.
  • Reduced postoperative pain.
  • Lower risk of infection.

How Is Laser Surgery for Piles Performed?

Laser haemorrhoid surgery is a swift, minimally invasive procedure lasting 20–30 minutes. Key steps include:

  • Anaesthesia: Patients receive anaesthesia for comfort and are kept awake.
  • Positioning: Patients lie on their back with the knees bent (lithotomy position) for better access.
  • Proctoscopy: A tube locates blood vessels supplying haemorrhoids.
  • Laser Treatment: Laser fibres destroy these vessels.
  • Shrinkage: Haemorrhoids shrink over about six weeks, reducing to 60-80% of their original size.

What Is the Recovery Process of Piles Laser Operation? 

Laser haemorrhoid surgery recovery involves:

In-hospital Recovery

After surgery, hospitals follow specific recovery protocols until the patient's discharge. Key aspects include:

  • Anaesthesia Recovery: Patients experience sedative effects for about 4–6 hours post-laser piles surgery. Healthcare professionals monitor vital signs to prevent issues. Nausea or disorientation may occur, but typically fades with time.
  • Symptom Management: Pain medications are prescribed to alleviate discomfort after laser haemorrhoid surgery. Bleeding and discomfort are common, usually improving within 2 weeks. Consult your doctor if symptoms persist.
  • Discharge: Patients are released after confirming normal gas and urine passage. Wear loose clothing and arrange transportation for comfort and support.

At-home Recovery

Post-discharge, patients play an essential role in laser haemorrhoid surgery recovery. Over the typical 2–4 weeks of recovery, key strategies include:

  • Stool Softeners: Use prescribed laxatives like Isabgol husk and Triphala for pain-free bowel movements, following instructions for best results.
  • Diet: Gradually increase fibre intake with fruits, vegetables, and whole grains. Start with bland foods like plain rice, bananas, and crackers, and stay hydrated.
  • Hygiene: Gently clean the affected area with mild soap and water, pat dry, and avoid harsh chemicals or vigorous wiping.
  • Sitz Bath: Reduce swelling and discomfort by sitting in warm water for 10–15 minutes, 2–3 times daily.
  • Kegel Exercises: Improve blood circulation and strengthen pelvic muscles by performing Kegel exercises, providing relief from discomfort and aiding healing.

Side-effects and Risks of Laser Treatment for Piles

Pile laser treatment is generally considered safe and effective. However, like any medical procedure, there are potential risks and complications that patients should be aware of.

Side-effects of Laser Surgery

  • Pain: Patients may experience discomfort or pain after undergoing piles laser treatment. In such cases, doctors can prescribe pain medication or recommend other pain management techniques to alleviate these symptoms.
  • Bleeding: Minor bleeding can occur during and after the procedure, but it should subside within 2–4 weeks. If one experiences persistent or excessive bleeding, it is important to contact a doctor promptly.
  • Infection: Although the risk of infection is low with this minimally invasive technique, there is still a slight possibility. It is crucial to maintain proper wound site hygiene to minimise this risk.
  • Bruising and Swelling: Bruising, swelling, redness, and discomfort in the treated area may occur. These side effects typically subside within two weeks.
  • Reaction to Medication: Some patients may experience adverse reactions to pain or other prescribed medications. In the event that a patient experiences any unusual symptoms, it is essential to promptly inform a doctor.

When to See a Doctor?

Patients should promptly consult their healthcare provider if they encounter any of the following complications following piles laser treatment:

  • Excessive Discomfort: If postoperative pain worsens or lasts beyond 2–4 weeks, seek medical advice immediately.
  • Fever: While mild fever post-surgery is common, a temperature above 37.78°C suggests possible infection and requires a doctor's evaluation.
  • Allergic Reactions: Signs like hives, breathing issues, or facial swelling after treatment need urgent medical attention.
  • Wound Infection: Redness, swelling, warmth, or pus at the surgical site should prompt immediate consultation with a healthcare professional.
  • Bowel Obstruction: Rarely, laser treatment can cause bowel issues. Symptoms like severe abdominal pain or inability to pass gas or stools necessitate urgent medical care.
  • Recurrence of Symptoms: If symptoms like bleeding or itching return, it's essential to get a healthcare provider's evaluation.

While laser therapy for piles presents numerous advantages, being aware of the disadvantages of laser surgery for piles and taking precautions after piles laser surgery is essential for informed decision-making. 

Check out: Fistula laser treatment cost

Laser treatment for piles is a highly-effective solution for individuals seeking relief from the discomfort and pain associated with piles, anal fissures, and similar disorders. With its minimally invasive nature and rapid recovery time, this advanced technique has revolutionised hemorrhoid treatment. If you or a loved one is struggling with piles, it is strongly recommended to consult a specialist at Max Hospitals. Our experienced team can provide a tailored and comprehensive approach to ensure the well-being and comfort of patients, helping them regain control of their lives and health. Don't suffer in silence; consult the experts at Max Hospitals and take the first step towards a pain-free, healthier future.

Written and Verified by:

Medical Expert Team