Laser Surgery For Piles (Laser Hemorrhoidoplasty)

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A phenomenon where the blood vessels in the anus become swollen and bulging is known as piles. The swelling is commonly credited to strenuous bowel movement which irritates the veins on the walls of the anus. This condition is seen in older people and during pregnancy. Consumption of high quantity of processed food also causes piles.

This surgery is only done only until stage 3 and not advanced. Advanced stage may require a different kind of surgery.


Any surgery, be it laser hemorrhoidoplasty or hemorrhoidectomy, is emotionally taxing on a patient. Feelings such as anxiety and nervousness flood the patient. However, it is only human nature to feel such things. Hence, having a loved one around during the duration of the surgery is always better for emotional and physical support.


Preparation is very important so that the surgery goes smoothly and the results are positive and effective. The patients ready themselves by following instructions by the doctor.

  • Any medication, especially blood thinners may be halted.
  • A bowel prep is done so as to clear the system of waste. This is done through an enema or taking a laxative.


In the case of Laser Hemorrhoidoplasty, the surgery is a modern, simple and a straightforward one. It is a minimally invasive method and this is an overview of the surgery:

  • A general anaesthesia is administered to numb the anal area.
  • The fiber tip of the laser is passed through the natural opening of the anus.
  • The laser energy is then focused on the hemorrhoidal mass. Once the heat destroys the outer membrane, the submucosal layer (beneath the outer membrane) of the haemorrhoid is exposed to the laser which then is destroyed by the laser.  
  • After the process, the haemorrhoid shrinks to a normal size and becomes a part of the tissue


Unlike the other surgeries such as hemorrhoidectomy or rubber band ligation, laser surgery requires minimum stay in hospital and usually patients are allowed to return home on the same day. The patient is allowed to return to their usual activities in a few weeks. Another benefit of laser surgery is that the haemorrhoid has a very low chance of forming again.

As for post surgery care, the individual would be prescribed painkillers by the doctor. Basic treatments such as sitz bath (the patient is made to sit in warm water which is upto the hip and is mixed with vinegar or salt) or even applying ice for pain are recommended.

As for the patient’s lifestyle, the diet is converted to a high fibre one so as to pass stools easily without strain. This helps prevent the rectum from developing piles a second time.


Even though this surgery is by far the most modern and safe compared to all others, there is a small chance of a complication. They could be:

  • Involuntary stool passage 
  • The anal canal can narrow after the surgery thus excretion cannot take place easily and due to this an anal fissure could form.
  • Urinary retention can occur which is credited to a dysfunctional bladder that interferes with the nerve impulses from the brain to the bladder.

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