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Laser Piles Treatment In Mumbai
Painless Minimally Invasive Laser Haemorrhoidoplasty for Piles at Shree Hospitals
Piles (haemorrhoids) are enlarged, swollen blood vessels in or around the rectum and anus that cause bleeding, pain, itching, and discomfort. Laser piles treatment (laser haemorrhoidoplasty) is a minimally invasive, day-care procedure in which a diode or CO2 laser is used to deliver precisely controlled laser energy to the haemorrhoidal tissue, causing it to shrink and fibrose without requiring large surgical cuts. At Shree Hospitals, our expert colorectal surgeons offer laser haemorrhoidoplasty for Grade II to Grade III haemorrhoids with minimal pain, rapid recovery, and return to normal activities within 2 to 3 days - often called a "walk-in, walk-out" procedure.
Suffering from Piles? Consult Our Colorectal Surgery Team at Shree Hospitals
Quick facts
Procedure: Laser Haemorrhoidoplasty (Laser Piles Treatment)
Grade Treated: Grade II, III (selected Grade IV)
Anaesthesia: Spinal or General Anaesthesia
Duration: 20 to 45 minutes
Hospital Stay: Day Care (same-day discharge)
Recovery: Return to normal activities in 2 to 3 days
Key Benefit: Minimal pain, no large incisions, rapid recovery
What is Laser Piles Treatment ?
Haemorrhoids (piles) are vascular cushions in the anal canal that become problematic when they enlarge, bleed, prolapse, or cause symptoms. They are classified by grade: Grade I (bleed but do not prolapse), Grade II (prolapse on straining but reduce spontaneously), Grade III (prolapse and require manual reduction), and Grade IV (permanently prolapsed and irreducible). Haemorrhoids are among the most common anorectal conditions, affecting an estimated 50 to 75% of people at some point in their lives. Risk factors include constipation, straining at stool, low-fibre diet, pregnancy, prolonged sitting, obesity, and a family history of haemorrhoids. The hallmark symptom is bright red rectal bleeding on defecation, typically coating the stool or seen in the toilet pan, accompanied by perianal itching, discomfort, and mucus discharge.
Laser haemorrhoidoplasty uses a radially emitting diode laser probe (wavelength 980nm or 1470nm) inserted into the haemorrhoidal tissue through a small puncture. The laser energy causes photocoagulation (controlled thermal destruction) of the haemorrhoidal tissue and its feeding blood vessels, causing the haemorrhoid to shrink and fibrose over 4 to 6 weeks. The procedure is performed under spinal or general anaesthesia as a day-care procedure. It is minimally invasive - there are no large incisions, no removal of skin or mucosa, and the anoderm (the sensitive skin of the anal canal) is preserved - which is why post-operative pain is significantly less than after conventional haemorrhoidectomy (which excises the haemorrhoidal tissue and the overlying anoderm).
At Shree Hospitals, our colorectal surgery team offers laser haemorrhoidoplasty as a preferred minimally invasive option for Grade II and Grade III haemorrhoids that have failed or are not suitable for outpatient procedures such as rubber band ligation or sclerotherapy. The procedure is performed by experienced colorectal surgeons with dedicated proctology expertise, using state-of-the-art diode laser systems. A pre-operative proctoscopy or flexible sigmoidoscopy is performed to confirm the haemorrhoid grade, exclude other causes of rectal bleeding, and assess the suitability for laser treatment.
Who Is a Candidate for Laser Piles Treatment?
- Grade II haemorrhoids that have not responded to conservative treatment (dietary fibre, stool softeners, topical creams) or outpatient procedures (rubber band ligation, sclerotherapy)
- Grade III haemorrhoids causing significant bleeding, prolapse, and discomfort, particularly in patients seeking a less painful alternative to conventional haemorrhoidectomy
- Patients who cannot take prolonged time off work and need a rapid return to normal activities
- Patients with anxiety about surgical pain - laser treatment causes significantly less post-operative pain than conventional haemorrhoidectomy
- Multiple haemorrhoid columns (Grade II to III) - all can be treated in a single session
- Patients with mixed haemorrhoids (internal and external components) - laser can address the internal component
Is Laser Treatment Right for Your Piles?
- Proctoscopy has confirmed the haemorrhoid grade and excluded other anorectal pathology
- Flexible sigmoidoscopy or colonoscopy has been performed to exclude colorectal cancer as the cause of rectal bleeding (particularly in patients over 40 or with any change in bowel habit)
- The haemorrhoids are Grade II or Grade III - Grade IV may require conventional haemorrhoidectomy or stapled haemorrhoidopexy
- The patient does not have active perianal sepsis (abscess or fistula) which should be treated first
- The patient understands that recurrence is possible over time and may require repeat treatment or escalation to surgical haemorrhoidectomy
Why Laser Piles Treatment Has Transformed Piles Management?
- Severe post-operative pain for 2 to 4 weeks (the anal wounds are left open to heal by secondary intention - one of the most painful surgical wounds)
- 2 to 4 weeks off work for recovery
- Urinary retention, bleeding, wound infection, and anal stenosis as potential complications
- Laser haemorrhoidoplasty avoids all of this: no excision of tissue, no open wounds, significantly less pain, same-day discharge, and return to work in 2 to 3 days - while delivering comparable symptom relief for Grade II and III haemorrhoids
Laser piles treatment at Shree Hospitals is a day-care procedure with minimal pain and return to normal activities in 2 to 3 days.
Our colorectal surgery team at Shree Hospitals uses advanced diode laser technology to deliver precise, minimally invasive treatment for Grade II and III haemorrhoids, offering an effective alternative to conventional haemorrhoidectomy with dramatically reduced post-operative pain and recovery time.
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Our Approach To Laser Piles Treatment
At Shree Hospitals, piles treatment begins with a comprehensive colorectal assessment to confirm the diagnosis, grade the haemorrhoids, and select the most appropriate treatment. Not all haemorrhoids need surgery - we treat conservatively where appropriate and offer the least invasive effective intervention for each individual patient.
24×7 Emergency Care
Comprehensive Proctological Assessment
Every patient presenting with rectal bleeding or perianal symptoms undergoes a thorough assessment at our proctology clinic. This includes a digital rectal examination, proctoscopy (direct visualisation of the anal canal and rectum with a proctoscope to identify and grade haemorrhoids), and flexible sigmoidoscopy or colonoscopy where indicated (patients over 40, change in bowel habit, weight loss, family history of colorectal cancer, or anaemia). Iron deficiency anaemia from chronic haemorrhoidal bleeding is corrected before surgery. The patient is counselled about all treatment options - dietary and lifestyle measures, outpatient procedures (rubber band ligation), and surgical options (laser, stapled, or conventional haemorrhoidectomy) - and the most appropriate treatment is selected jointly.
Precise Laser Haemorrhoidoplasty Technique
The laser haemorrhoidoplasty procedure is performed in the lithotomy position under spinal or general anaesthesia. A proctoscope is inserted to visualise the haemorrhoidal columns. The radially emitting laser probe (connected to a 980nm or 1470nm diode laser system) is introduced into the haemorrhoidal tissue through a small puncture in the mucosa at the apex of the haemorrhoid. Laser energy is applied in a controlled, pulsed manner as the probe is withdrawn, delivering precise photocoagulation of the haemorrhoidal tissue from inside out. Each haemorrhoidal column is treated individually. Doppler guidance is used in selected cases to locate and directly ablate the terminal haemorrhoidal artery feeding the haemorrhoid, maximising the devascularisation effect.
Combined Approach for Complex Haemorrhoids
For patients with large external haemorrhoidal skin tags in addition to internal haemorrhoids, or for Grade III to IV haemorrhoids with significant external components, our surgeons offer a combined approach - laser haemorrhoidoplasty for the internal component combined with minimal excision of the external component under the same anaesthetic. This achieves better overall cosmetic and symptomatic results than laser alone for these complex cases. Where Grade IV haemorrhoids are present (permanently prolapsed), stapled haemorrhoidopexy (PPH) or conventional haemorrhoidectomy may be recommended as better-suited alternatives to laser treatment - our team will advise accordingly after assessment.
Post-Procedure Care and Long-Term Advice
After laser haemorrhoidoplasty, patients are monitored for 2 to 3 hours in the day surgery unit and discharged with oral analgesia (paracetamol and ibuprofen), a topical local anaesthetic gel for perianal comfort, and a high-fibre dietary plan and stool softener prescription. Post-procedure discomfort is typically mild - described as a sensation of fullness or mild pressure rather than sharp pain. Haemorrhoidal shrinkage is gradual over 4 to 6 weeks as the treated tissue fibroses. The long-term success of laser piles treatment depends significantly on lifestyle measures: increased dietary fibre, adequate hydration, avoidance of straining, and regular bowel habits prevent recurrence.
Top General Surgeons Specialists in Mumbai
Every specialist at Shree Hospitals is board-certified and has an average of 15+ years of clinical experience in laparoscopic appendectomy, emergency surgery, perforated appendicitis management, and complex abdominal surgery.
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Dr. Rajiv Manek
Consultant Bariatric, Laparoscopic & General Surgeon
Dr. Prasad Bhukebag
Robotic & Advanced Laparoscopic GI Surgery
Dr. Sadashiv Chaudhari
Morbid Obesity & Metabolic Interventions
Dr. Mahesh Doshi
Dermatology, Cosmetology
General Surgery Services
We offer a comprehensive range of general surgery and colorectal procedures including laser piles treatment, fistula surgery, fissure surgery, pilonidal sinus surgery, laparoscopic hernia repair, laparoscopic gallbladder surgery, and more.
Step by Step process of Laser Piles Treatment
Step 1 - Proctology Consultation and Assessment
The colorectal surgeon takes a detailed history of rectal bleeding, prolapse, pain, itching, and bowel habits. Digital rectal examination is performed to assess anal tone, tenderness, and any palpable masses. Proctoscopy is performed to directly visualise and grade the haemorrhoids. Flexible sigmoidoscopy or colonoscopy is arranged for patients in whom other causes of bleeding must be excluded. Blood tests including full blood count check for anaemia from chronic blood loss. The appropriate treatment is recommended and the procedure is explained in detail.
Step 2 - Pre-Procedure Preparation
The patient arrives on the day of the procedure after 6 hours of fasting. A phosphate enema is given 1 to 2 hours before the procedure to empty the rectum. Blood pressure, pulse, and routine observations are checked. IV access is established. Spinal or general anaesthesia is confirmed with the anaesthetic team.
Step 3 - Anaesthesia and Positioning
The patient is positioned in the lithotomy position (lying on the back with legs elevated in stirrups) or the prone jack-knife position (lying face down) depending on surgeon preference. Spinal anaesthesia is the preferred option for most patients - it provides excellent perineal anaesthesia with shorter recovery than general anaesthesia. The perineum is prepared with antiseptic and draped.
Step 4 - Proctoscopy and Haemorrhoid Identification
A lubricated proctoscope is gently inserted into the anal canal. The haemorrhoidal columns (typically at 3, 7, and 11 o'clock positions) are identified. The largest and most symptomatic haemorrhoid is treated first. The laser probe is prepared and the laser settings are confirmed by the surgeon.
Step 5 - Laser Application
The radially emitting laser probe is inserted through a small puncture into the apex of the haemorrhoidal tissue. Laser energy is delivered in controlled pulses as the probe is slowly withdrawn through the haemorrhoid. The treated tissue blanches and contracts visibly. The same process is repeated for each haemorrhoidal column. Doppler-guided haemorrhoidal artery ablation is performed if indicated. Total laser application time is typically 15 to 30 minutes for three haemorrhoidal columns.
Step 6 - Discharge and Recovery Instructions
The patient is monitored for 2 to 3 hours in the day surgery unit. Oral analgesia and a topical anaesthetic gel are prescribed. High-fibre diet and stool softener (Lactulose or Ispaghula husk) are prescribed for 4 to 6 weeks to prevent straining. The patient is advised to expect gradual shrinkage of the haemorrhoids over 4 to 6 weeks. Follow-up is arranged at 4 to 6 weeks to assess response. If a haemorrhoidal column has not fully responded, a second laser session or alternative treatment may be offered.
Patient Questions About Laser Piles Treatment
Is laser piles treatment painful?
Laser haemorrhoidoplasty is performed under spinal or general anaesthesia, so the patient feels nothing during the procedure. After the anaesthesia wears off, most patients experience mild to moderate discomfort - described as a sensation of heaviness, fullness, or mild pressure rather than severe pain. This is in stark contrast to conventional haemorrhoidectomy which is associated with significant post-operative pain for 2 to 4 weeks due to the open anal wounds. Oral paracetamol and ibuprofen control post-laser discomfort well in the majority of patients, and most patients do not require stronger opioid analgesia. Significant pain in the days after laser treatment should be reported to the surgical team as it may indicate a complication such as urinary retention, infection, or bleeding.
How many sessions of laser treatment are needed?
Most patients with Grade II to Grade III haemorrhoids achieve adequate symptom relief with a single laser haemorrhoidoplasty session in which all symptomatic haemorrhoidal columns are treated at one time. In some patients, particularly those with large Grade III haemorrhoids, a second session at 4 to 6 weeks may be recommended if the first session has not achieved complete haemorrhoidal shrinkage. Laser haemorrhoidoplasty is less effective for Grade IV haemorrhoids (permanently prolapsed) and these patients may ultimately require stapled haemorrhoidopexy (PPH) or conventional haemorrhoidectomy for definitive treatment.
Can I eat normally before and after laser piles treatment?
You must be nil by mouth (no food or water) for 6 hours before the procedure due to the anaesthesia. After the procedure, most patients can eat and drink within a few hours of returning to the ward. After discharge, a high-fibre diet is strongly recommended - at least 25 to 30 grams of fibre per day from fruits, vegetables, whole grains, and pulses. Adequate fluid intake (2 to 3 litres per day) softens the stool and prevents straining, which is critical for the long-term success of any piles treatment. Spicy foods, alcohol, and foods known to cause constipation (processed foods, red meat in excess) should be minimised. A stool softener is prescribed for 4 to 6 weeks to ensure easy, straining-free bowel movements while the treated tissue heals and fibroses.
What is the difference between laser piles treatment and conventional haemorrhoidectomy?
Conventional haemorrhoidectomy (Milligan-Morgan or Ferguson technique) surgically excises the haemorrhoidal tissue and the overlying anoderm (the sensitive skin lining of the anal canal), leaving open wounds that heal over 4 to 6 weeks. It is highly effective for all grades of haemorrhoids but is associated with significant post-operative pain, 2 to 4 weeks recovery, and occasional late complications (anal stenosis). Laser haemorrhoidoplasty does not excise tissue - instead it delivers energy into the haemorrhoidal tissue causing it to shrink from within, preserving the anoderm and dramatically reducing post-operative pain and recovery time. Laser treatment is most appropriate for Grade II and III haemorrhoids. For large Grade III and Grade IV haemorrhoids, conventional haemorrhoidectomy or stapled haemorrhoidopexy (PPH) may be more effective long-term options, and our surgeons will advise on the most appropriate treatment for your individual grade and anatomy.
Evidence-Based Case Studies by Our Specialists
Would Recommend Us
IT professional with Grade III haemorrhoids underwent laser haemorrhoidoplasty, returned to work in 3 days, with complete symptom relief by 6 weeks.
"I was embarrassed to talk about my piles but they were really affecting my quality of life. The laser treatment at Shree Hospitals was so much easier than I imagined - I went home the same day and was back at work within days. The bleeding has completely stopped."
Mr. Vikram N.
Woman with postpartum Grade II haemorrhoids underwent laser haemorrhoidoplasty, achieving complete symptom relief without conventional surgery after conservative pregnancy management.
"My piles became very troublesome during pregnancy. After delivery the surgeon recommended laser treatment. It was very quick and the recovery was easy - I was back to looking after my baby the next day. I would recommend this to anyone suffering with piles."
Mrs. Rekha A.
Elderly patient with Grade III haemorrhoids underwent 30-minute laser haemorrhoidoplasty under spinal anaesthesia, achieving excellent symptom relief with minimal stress.
"My piles were very bad but my doctors were worried about a long operation because of my diabetes and blood pressure. The laser treatment was done quickly under spinal anaesthesia and I had very little discomfort. I am so glad I had it done."
Mr. Gopal T.
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