Laser Treatment for Piles (Haemorrhoids)
Painless, daycare laser surgery for piles with verified proctologists at NABH-accredited partner hospitals. Most patients go home the same day and are back to routine work within 2–3 days — with cashless insurance, no-cost EMI and a care coordinator who stays with you from the first call to full recovery.
- Cashless Insurance Support
- No-Cost EMI
- Free Pickup & Drop
- Dedicated Care Coordinator
- 24×7 Patient Support
- No Hidden Charges
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What is Piles?
Piles, medically called haemorrhoids, are swollen and inflamed veins in the lower rectum and around the anus. They are extremely common — a large share of adults experience them at some point — and they are usually the result of repeated straining during bowel movements, long-standing constipation, prolonged sitting, pregnancy or a low-fibre diet.
Piles are broadly of two types. Internal piles develop inside the rectum and are often painless, announcing themselves only through bright red bleeding during a bowel movement. External piles form under the skin around the anus and tend to be painful, itchy and swollen; when a clot forms inside one (a thrombosed pile), the pain can be sudden and severe.
Doctors grade internal piles from I to IV. Grade I stays inside the rectum. Grade II comes out while passing stool but goes back on its own. Grade III has to be pushed back manually. Grade IV stays outside permanently and cannot be pushed back. Grades I and II usually respond to diet correction, medication and lifestyle change. Grades III and IV generally need a procedure.
The good news is that piles are highly treatable and modern laser treatment has made that treatment far gentler than the open surgery most people fear. Instead of cutting away tissue and leaving an open wound, a fine laser fibre seals the blood vessels feeding the pile mass, which then shrinks and shrivels over the following weeks. There are no large cuts, usually no stitches, and dramatically less post-operative pain.
The one thing you should not do is wait. Untreated piles rarely improve on their own and can progress to a higher grade, bleed enough to cause anaemia, or develop complications like thrombosis and strangulation. Rectal bleeding also has more serious causes that need to be ruled out — which is exactly why a proper examination matters.
Treatment information
| Condition | Piles (Haemorrhoids) |
|---|---|
| Procedure | Laser Haemorrhoidoplasty / Haemorrhoidectomy |
| Duration | 30 to 45 minutes |
| Treated by | Proctologist / General Surgeon |
| Anaesthesia | Spinal or short general anaesthesia |
| Success rate | 95–98% |
| Recovery time | 2 to 3 days |
| Hospital stay | Daycare — same-day discharge in most cases |
Signs you may need Piles treatment
- Bright red blood during or after passing stool
- Itching, irritation or burning around the anus
- Pain or discomfort while sitting or passing stool
- A soft lump or swelling felt near the anal opening
- A feeling that the bowel has not emptied completely
- Mucus discharge, or staining on undergarments
What causes it?
- Chronic constipation and straining during bowel movements
- A low-fibre diet and inadequate water intake
- Sitting for long hours, especially on the toilet
- Pregnancy and childbirth, due to pressure on pelvic veins
- Obesity and being overweight
- Heavy weight lifting or strenuous physical work
- Chronic diarrhoea
- Ageing, which weakens the tissue supporting anal veins
Who is more likely to be affected
- Family history of piles
- Sedentary desk job with long sitting hours
- Regular use of laxatives or enemas
- Pregnancy, particularly the third trimester
- Long-standing liver disease with portal hypertension
When to see a doctor immediately
- Bleeding that continues for more than a week despite home care
- Heavy bleeding, dizziness or unusual fatigue
- Severe pain, or a hard painful lump at the anus
- A pile mass that no longer goes back inside
- Any change in bowel habit lasting more than a few weeks
How it is diagnosed
Medical history
The surgeon asks about bleeding, pain, itching, bowel habits, diet, how long the symptoms have lasted, and any family history — often enough on its own to point strongly toward piles.
Physical examination
A visual inspection of the anal region identifies external piles, skin tags, fissures and any prolapsed mass. It is quick, and done with full privacy.
Digital rectal examination (DRE)
A gloved, lubricated finger is used to feel inside the anal canal for internal piles, tenderness and any other abnormality. It takes under a minute and is not painful.
Proctoscopy / anoscopy
A short lighted tube lets the surgeon see the anal canal and lower rectum directly, and confirm the exact grade and position of internal piles — which decides the treatment plan.
Sigmoidoscopy or colonoscopy
Advised when bleeding is significant, the patient is over 45, or symptoms don't fit piles alone. It examines the colon to rule out other causes of rectal bleeding before treatment is planned.
How the options compare
| Feature | Open Surgery | Laser Surgery |
|---|---|---|
| Cuts and incisions | Multiple, large | Minimal to none |
| Stitches | Required | Usually not required |
| Pain after surgery | Significant | Minimal |
| Blood loss | High | Very low |
| Chance of infection | Higher | Minimal |
| Hospital stay | 2–3 days | Daycare, same-day discharge |
| Return to work | 2–4 weeks | 2–3 days |
| Recurrence | Moderate | Low |
Types of treatment
Non-surgical treatment (Grade I–II)
Diet and lifestyle correction
A high-fibre diet, 3–4 litres of water a day, regular exercise and avoiding straining resolve a large number of early-grade piles without any procedure.
Medication
Stool softeners, oral venotonic medicines and topical creams or suppositories reduce swelling, bleeding and pain while the tissue heals.
Rubber band ligation
A small band is placed at the base of the pile to cut off its blood supply. The pile shrivels and falls away within a week or two. Done in the OPD, no anaesthesia needed.
Sclerotherapy
A chemical solution is injected into the pile, scarring and closing off the vessel. Suitable for small internal piles and for patients on blood thinners.
Infrared coagulation
Infrared light coagulates the vessels feeding small and mid-sized piles. Quick, and most patients resume their day immediately.
Surgical treatment (Grade III–IV)
Laser haemorrhoidoplasty
The technique we recommend most often. A thin laser fibre delivers controlled energy that seals the feeding vessels; the pile mass then shrinks over the following weeks. No large cuts, no open wound, minimal pain and same-day discharge.
Stapled haemorrhoidopexy (MIPH)
A circular stapler lifts the prolapsed tissue back into its normal position and staples it there. Useful for circumferential grade III piles, with less pain than open surgery.
Open haemorrhoidectomy
The conventional operation, where the pile mass is excised. Still the right choice for very large grade IV or thrombosed piles, and it has the lowest recurrence rate of all.
Transanal haemorrhoidal dearterialisation (THD)
A Doppler probe locates the arteries feeding the piles, which are then tied off, and prolapsed tissue is stitched back into position. Nothing is cut away.
What happens, step by step
- 1
Admission and pre-operative checks
30–60 minutes- Your coordinator receives you at the hospital and completes the admission paperwork
- Blood pressure, pulse and oxygen levels are recorded
- Pre-operative blood tests and an ECG are reviewed
- 2
Surgeon and anaesthetist review
15–30 minutes- The surgeon re-examines you and confirms the plan
- The anaesthetist reviews your history and explains the anaesthesia
- Consent forms are signed and an IV line is started
- 3
Anaesthesia
10–15 minutes- You are shifted to the operation theatre
- Spinal anaesthesia or short general anaesthesia is given
- The area becomes completely numb — the procedure itself is painless
- 4
The laser procedure
30–45 minutes- A proctoscope is used to locate the pile mass and its feeding vessels
- A fine laser fibre is introduced and controlled energy is delivered
- The vessels are sealed, so the pile mass loses its blood supply
- No large cuts are made and stitches are usually not needed
- The area is checked for bleeding before you are shifted out
- 5
Recovery room observation
1–2 hours- Vitals are monitored as the anaesthesia wears off
- You can start taking oral fluids once fully awake
- Pain relief is given if you need it
- 6
Discharge
Same day, or within 24 hours- Most patients are discharged the same evening
- Painkillers, stool softeners and any antibiotics are prescribed
- Diet, sitz-bath and wound-care instructions are explained
- Your free cab drops you home
How to prepare
- Get the pre-operative blood tests and ECG done as advised
- Tell your surgeon about blood thinners, diabetes or heart medication
- Fast for 6–8 hours before the procedure as instructed
- Arrange for an adult attendant to accompany you
- Carry your insurance card, ID proof and previous reports
Why patients choose this procedure
Minimal pain
There is no open wound, so the severe post-operative pain associated with traditional piles surgery is largely avoided.
Daycare procedure
Most patients are admitted and discharged the same day — no multi-day hospital stay and no long leave from work.
Very little bleeding
The laser seals vessels as it works, so blood loss during and after the procedure is minimal.
Fast return to routine
Most people are back to desk work in 2–3 days, against 2–4 weeks after open surgery.
Low recurrence
When it is combined with the diet and lifestyle changes your care team explains, recurrence rates are low.
Sphincter is preserved
Because tissue is not cut away, the risk of damaging the anal sphincter — and of incontinence — is very low.
Possible risks and side effects
Pain and discomfort
Mild pain or a burning sensation for a few days is normal and is well controlled with the prescribed painkillers.
Minor bleeding
Light spotting for one to two weeks can happen, particularly with the first few bowel movements. Heavy or persistent bleeding needs to be reported immediately.
Infection
Uncommon with a minimally invasive procedure, and further reduced by hygiene and the prescribed antibiotics.
Swelling and bruising
Local swelling or a bruised feeling around the anus usually settles within two weeks.
Difficulty passing urine
Temporary urinary retention can occur after spinal anaesthesia and resolves on its own, occasionally needing a short-term catheter.
Recurrence
Piles can return if constipation and straining continue — which is why the diet and lifestyle plan is part of the treatment, not an afterthought.
What recovery looks like
Recovery after laser piles treatment is usually straightforward. You will be encouraged to walk within a few hours of the procedure, and most patients go home the same evening.
First 48 hours: expect mild pain, a burning sensation and possibly light spotting. Take the prescribed painkillers and stool softeners on schedule — the goal is to keep the first bowel movements soft and effortless. Warm sitz baths for 10–15 minutes, two or three times a day, help considerably.
Days 3 to 7: most people with desk jobs return to work. Continue the high-fibre diet and plenty of water. Avoid heavy lifting, cycling and long periods of sitting on hard surfaces.
Weeks 2 to 6: the treated pile mass continues to shrink. Light spotting may occur occasionally and is not a cause for alarm. Your coordinator will call to check on you, and a follow-up review with the surgeon is scheduled.
Contact your care coordinator immediately if you have heavy bleeding, fever, severe pain that painkillers don't control, or you are unable to pass urine.
What to eat and what to avoid
Recommended
- High-fibre foods — oats, whole grains, dals and pulses
- Fresh fruit such as papaya, guava, pear and banana
- Green leafy vegetables and salads
- 3 to 4 litres of water through the day
- Curd, buttermilk and other probiotics
- Soaked figs, raisins or isabgol (psyllium husk) at night
Best avoided
- Spicy, deep-fried and heavily masala-laden food
- Red meat and processed meat
- Maida and refined-flour products
- Alcohol and excess tea or coffee
- Aerated drinks
- Low-fibre packaged and fast food
Post-operative care, at no extra cost
- Diet and lifestyle consultation with a nutritionist
- Scheduled follow-up calls until you are fully recovered
- Free cab for the follow-up visit
- 24×7 access to your care coordinator for any concern
Piles treatment cost
₹35,000 – ₹85,000
Final cost depends on the grade of piles, the technique used, your city, the hospital and your room category. Most health insurance policies cover piles surgery — our team checks your eligibility and files the cashless request for you before admission.
Inside the care journey
Piles — your questions answered
The procedure itself is done under anaesthesia, so you feel nothing during it. Afterwards, most patients describe mild discomfort rather than pain, and it is well controlled with oral painkillers. This is the single biggest difference from traditional open surgery.