By Chirag Global Hospitals

Piles also known as hemorrhoids affect millions of people due to sedentary lifestyle, poor diet, or chronic constipation. While traditional surgical methods have been effective, laser treatment for piles has emerged as a modern, painless, and highly effective alternative. This article explores everything you need to know about laser treatment for piles, including its benefits, candidacy, recovery, cost, and expert-backed insights.
What Are Piles?
Piles are swollen veins in the lower rectum and anus, classified into four grades:
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Grade I: Small swellings, often painless
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Grade II: May protrude during bowel movements, retract on their own
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Grade III: Prolapse that requires manual reduction
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Grade IV: Permanently prolapsed and cannot be pushed back
Laser treatment is particularly beneficial for Grades II, III, and IV.
Suffering from painful hemorrhoids and planning for the right treatment? In the initial stages, piles (Haemorrhoids) are best treated with piles home remedies or non-surgical treatments. However, once the disease becomes chronic, something more needs to be done to provide a permanent cure.
There are various options to get rid of painful piles and surgery is one of them. If it is decided that surgery is the right option to treat hemorrhoids, then it can lead to confusion as there are many options available. Among them, laser piles surgery has become popular as it can eliminate the risks of any further medical complications.
During the procedure, the laser is focused on the affected area and it seals off the nerves and blood vessels. Laser piles surgery is a highly effective procedure, and it is one of the main reasons why this method is preferred for bleeding piles.
1. Much safer and less painful
Laser surgery is one of the least painful surgeries for piles. Previously, the pile’s surgery was dreadful for most people due to the amount of pain caused. But the laser piles surgery is less invasive and does not create any type of sparks, which makes the surgery safe.
2. Very less bleeding
The primary advantage of laser hemorrhoid surgery is that it does not involve much bleeding. Laser surgery helps in minimizing the amount of blood flow by blocking the blood vessels and tissues. Also, laser treatment does not affect the tissues around the piles.
3. Fast treatment
The duration of the laser surgical treatment for piles is quite less; it takes about 45 minutes to finish the procedure. There is no need for hospitalization, patients can get discharged on the same day, which makes a better choice of piles surgery.
4. Quick healing
Alternative methods of surgery might take a few days to a few weeks to heal piles completely. The time required for the healing process for this method of surgery is a lot less, however, it differs from person to person. Patients can resume to routine with just a couple of days’ rest.
5. Easier way
Performing Laser surgery is much easier than conducting a traditional surgery. This is due to the surgeon having more control over the process and the amount of effort by the surgeon is less. The results are always effective when the work of a surgeon is made easier.
Moreover, LASER treatment has been found to be applied in many different fields of medicine. It has better results than usual conventional treatments. So, people don’t have to worry about the pain after surgery and suffer silently from the fear of surgery.
Who Is an Ideal Candidate?
Laser hemorrhoidoplasty (LHP) is best suited for patients with Grade II – IV internal or external hemorrhoids, particularly those who haven’t responded to conservative treatments. It’s also a safe option for individuals with comorbidities such as diabetes or hypertension.
Laser Technology & Procedure Types
There are three primary techniques:
- Laser Hemorrhoidoplasty (LHP): Submucosal application to shrink hemorrhoidal tissue and promote fibrosis.
- Laser Coagulation/Photocoagulation: Seals blood vessels via heat, reducing bleeding.
The choice between diode and CO₂ lasers depends on tissue penetration depth and recovery profile.
Pre-Procedure Preparation
Patients are advised to:
- Follow a liquid diet and bowel prep the day prior.
- Take prophylactic antibiotics if indicated.
- Choose between sedation or spinal anesthesia based on comfort and comorbid conditions.
Step-by-Step Recovery Timeline
Phase |
Timeline |
Description |
Immediate |
0–12 hrs |
Discharged same day; mild soreness |
Early |
24–48 hrs |
Soft diet, light walking |
Mid |
3–7 days |
Return to office work; swelling reduces |
Late |
2–4 weeks |
Full recovery; normal diet/activity |
Comparative Safety & Efficacy
Laser therapy generally offers:
- <5% recurrence at 1 year
- <2% risk of re-bleeding
- Post-op pain scores averaging below 2/10—significantly better than traditional hemorrhoidectomy
Lifestyle Tips for Best Outcomes
To reduce recurrence risk:
- Eat ≥25 g fiber daily, stay hydrated
- Avoid straining during bowel movements
- Practice daily sitz baths and Kegel exercises
- Stay active walking boosts pelvic circulation
Contraindications
Avoid if:
- There’s an active perianal infection
- Pre-existing bleeding disorders unless optimized
- Patient is pregnant or has untreated malignancy in the anorectal area
FAQs
- Is it painful? Mild discomfort
- Return to daily activities? Many walk or drive within 24 hrs.
- Long-term results? High satisfaction with <5% recurrence at 1 year.
Need the best laser treatment for piles in Bangalore? Consult our best piles surgeons at the Chirag Global Hospitals, to get a safe and pain-free cure. Schedule an appointment now!