A Complete Guide to Laser Treatment for Piles

Piles—also called hemorrhoids—are swollen veins around the anus or lower rectum. I often see patients who’ve been dealing with itching, bleeding, or a sense of fullness for months. Some can’t sit comfortably. Others dread bowel movements. Home remedies help in many cases. But when things keep coming back or get worse, it’s time to talk about laser treatment for piles.

This guide explains every part of the procedure. I’ll walk you through who it’s for, what happens during the surgery, and why many reach for this option first.

What is Laser Treatment for Piles?

Laser hemorrhoidectomy uses focused light energy to shrink or remove swollen veins. The laser seals blood vessels. Over time, the hemorrhoid fades away. There’s minimal discomfort, and most patients go home the same day.

I often tell people it’s like ironing a crumpled shirt—it smooths things out with precision, leaving little trace behind.

Who Should Consider Laser Piles Surgery?

I recommend laser surgery for piles for people who have:

• Repeated bleeding during stools
• Internal hemorrhoids that prolapse and don’t go back in gently
• Persistent pain or burning
• Tried creams and sitz baths without lasting relief
• Trouble cleaning or hygiene because of prolapse

Not everyone needs a laser. We always do a proper exam—sometimes with a simple scope—to confirm you’re a good fit. Grades II, III, and some IV hemorrhoids respond well.

Symptoms of Piles

Piles (hemorrhoids) affect daily comfort and well-being. Early recognition helps ensure the person seeks treatment before the condition worsens. Common symptoms of piles are:

• Itching in and around the anus
• Bleeding with an effluence of blood, bright red from the rectum during or after defecation
• Pain sitting or while passing stools
• A lump or swelling is felt around the anus
• Feeling of fullness or incomplete evacuation
• Mucus discharge or soiling of underpants
  
  

Causes of Piles

One of the many causes of hemorrhoids is increased pressure in the rectal veins that can weaken the walls over time. Some common causes of that pressure or aggravators might be:

• Chronic constipation or diarrhea
• Straining to pass stools
• Sitting for lengthy periods and especially while on the toilet
• Lack of fiber in the diet and water intake
• Pressure on the pelvic veins during pregnancy
• Obesity, overweight
• Regular heavy lifting
• Family history of hemorrhoids
  
  

How Laser Piles Surgery Works

You come in, we use mild sedation or local anesthesia, and the laser tool goes in. There’s no cutting of healthy tissue. We treat only the diseased vein. The whole thing takes 15–30 minutes for most patients. Once done, we observe you briefly and send you home with care advice.

No stitches. No open wounds. The laser does the work, shrinking the hemorrhoid gently and safely.

Types of Laser Piles Treatment

• Laser piles treatment is not one technique – there are several types, each for particular grades and symptoms of hemorrhoids. The primary types are:
• Laser Hemorrhoidoplasty (LHP) – A minimally invasive procedure in which the laser reduces the size of the hemorrhoid from within without cutting tissue. Suggested for Grades II and III piles.
• Laser Coagulation – Applies concentrated laser energy to stop the flow of blood to the hemorrhoid, which makes it shrink. Suitable for lesser internal piles.
• Laser Hemorrhoidectomy – Consists of the removal of hemorrhoidal tissue with laser energy. Utilized for more severe cases where removal is needed.
• Combination Laser Therapy – A customized procedure in which two methods are utilized together for improved outcomes in complex situations.
  
  

Recovery After Laser Surgery for Piles

Most people are back on their feet the same day.

Common experiences include:

• Tenderness during bowel movements
• Some mild discharge
• Feeling slightly swollen for a few days
  

I encourage a soft diet and warm sitz baths. Bowel movement should be easy, not forced. Pain is usually manageable with simple meds.

Most return to work within 3–5 days. Healing is faster than with conventional hemorrhoid surgery.

Benefits of Laser Treatment Over Other Surgery

I’ve done both traditional and laser procedures for piles. Here’s why I lean toward lasers for many:

• Less pain afterward
• No open wounds to take time to heal
• Shorter hospital stay
• Lower risk of incontinence
• Faster return to everyday life
• Reduced odds of infection
  
  

For many, it’s a much more comfortable recovery, even for those who feared surgery.

Risks of Laser Treatment for Piles

No procedure is risk-free. With laser treatment for piles, possible mild issues may include:

• Slight bleeding the first day or two
• Burning sensation that fades within a week
• Rarely, mild recurrence if you don’t improve your diet or habits
  
  

I cover all of this in our first meeting. After all, surgery only works well when post-care is good—diet, hydration, and follow-up matter just as much.

Cost of Laser Treatment for Piles in India

Laser Treatment for Piles in India has varying costs depending on the type of piles, hospital, city and the surgeon's experience. The laser piles surgery cost can range from Rs. 40,000 to Rs. 1,15,000. It may seem expensive, but you are paying for:

• Post-operative complete care - regular follow-up, dressings and guidance for permanent relief.
• Hospital and Equipment Standards - Most modern laser equipment and sterilized facilities reduce risks.
• Expertise and safety – A skilled colorectal or general surgeon provides accuracy and improved outcomes.
  
  

Always speak to a qualified surgeon, discuss packages available, and ask about insurance or payment plans if necessary.

When Should You See a Surgeon?

Ignoring piles symptoms for too long can make the condition worse and lead to complications. A timely consultation with a qualified surgeon ensures early treatment, faster recovery, and less discomfort.

See a doctor if you have:

• Regular bleeding
• Lump that doesn’t reduce
• Pain longer than a few days
• Itching or soiling that won’t stop
  
  

Early action avoids complications like thrombosis or strangulation. Laser surgery for piles offers a reliable fix at the right time.

Will Piles Come Back After Laser Treatment?

A lot of my patients ask me, "Will it come back after the laser treatment for piles?" I tell them, the treatment removes what’s there now. But piles can return if the root habits don’t change. If you're straining every day or your diet's low on fiber, there's still a risk. That’s why we talk about food, hydration, and toilet habits too. The laser fixes the physical part. But long-term relief needs good daily care. With the right changes, most people don’t face trouble again. I always go over this after surgery, so nothing’s left unclear. It's not just about the procedure—it’s about what you do after.

My Personal Approach

I’m Dr. Sandhya Gupta—recognized as one of the best general surgeon in gurgaon for colorectal and anorectal issues. I’ve helped hundreds find relief. That’s why I always reserve time to explain your options clearly. If the laser method is suitable, I will guide you through every step—no surprises.