Laser Proctology — Piles, Fissure & Fistula

What it treats

Piles (haemorrhoids), anal fissure, anal fistula, pilonidal disease

Approach

Laser and minimally invasive techniques incl. VAAFT for fistula, chosen by grade and anatomy

Stay

Most procedures are day-care

Where

Apollo Hospitals, Sarjapur Road, Bengaluru

Three different problems — often confused

• Piles (haemorrhoids) — swollen blood vessels causing bleeding, itching or a lump; graded by severity, treated accordingly.
• Anal fissure — a small tear causing sharp pain during and after passing stool; early fissures often heal with medical care, chronic ones may need a procedure.
• Anal fistula — an abnormal tunnel, usually after an abscess, causing recurrent discharge or swelling; fistulas do not heal on their own and need surgical treatment mapped to their track.

Laser and minimally invasive treatment

For suitable cases, laser procedures treat piles, fissures and fistulas through minimally invasive day-care techniques designed for less post-operative pain and an early return to routine. Fistulas may be treated with laser or VAAFT (video-assisted techniques) depending on the track's anatomy — complex fistulas are first mapped, often with MRI, so the sphincter muscles are protected.

Recovery

Most laser proctology procedures are day-care; discomfort is typically manageable and most people return to routine within days, individual recovery varying. Dietary guidance to keep stools soft is part of aftercare.

Frequently asked questions

Is laser piles treatment painful?

Laser techniques are designed for less post-operative pain than conventional surgery, and most procedures are day-care. Discomfort varies by individual and by grade of disease.

Do fissures need surgery?

Early fissures often heal with medical management. Chronic fissures that keep recurring may need a minimally invasive procedure, decided after examination.

Can a fistula heal on its own?

No — fistulas need surgical treatment. The technique (laser, VAAFT or others) is chosen after mapping the track, protecting the sphincter muscles.

Is bleeding with stool always piles?

No — bleeding must be examined, not assumed. Other causes, including colorectal cancer, need to be ruled out first.

This page provides general information and is not a substitute for a consultation. Treatment decisions are individual and made after a surgical evaluation.