General Surgery & Gastrointestinal Surgery

⁠Proctology – Laser for Piles, Fissure and Fistula

Advanced laser treatments for piles, fissures, and fistulas, ensuring effective and minimally invasive care for your comfort and health.

Proctology-Laser for Piles, Fissure and Fistula

Piles, fistula and fissures are anal pathologies which cause certain common symptoms such as passing bloody stools or having trouble passing stools, itchy and irritable anal cavity, and discomfort when sitting for a longer time, among other such symptoms. 

The anus is the end orifice of the digestive tract through which excreta (stools) are expelled from body. Piles, fistula and fissures are the common disorders concerning the anal region.

Almost 20% of the Indian population suffers from piles,fistula and fissures.

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Piles, also known as haemorrhoids, is a anus condition in which the veins in the terminal part of the anus get swollen. Piles primarily affect the population over 50 but are common in pregnant women. In most cases, piles may begin to heal on their own before the signs appear.

The symptoms of piles may include:

Bleeding after passing stool
Passing bloody stools
Lump or swelling inside the anal cavity
Irritation, itchiness, and/or pain in the anal region
Leakage of stools

Causes of Piles

Chronic constipation and difficulty in bowel movements lead to piles. There can be other reasons that may lead to piles. These include the following:

Chronic diarrhoea
Straining when passing stool
Lifting heavy weights 

If non-interventional treatment for piles doesn’t work, surgical treatments such as banding, infrared coagulation, sclerotherapy, and haemorrhoidectomy may help fix this problem.

Are Piles Curable? 

Piles tend to get better on their own if they’re in initial stages. Sometimes, it is possible to treat piles with simple changes in lifestyles and treatments such as:

Chronic diarrhoea
Using medications such as corticosteroids and laxatives


Fistula is a condition affecting the anal region. The anal glands present in the middle portion of the anus may get infected, leading to an anal abscess. This may cause pus to start oozing out and create a passage, called a fistula, to the infected gland; a fistula has been associated with being overweight and sitting for a prolonged duration of time. There can be pain, swelling, redness, and release of pus. 

Causes of Fistula

Anal fistulas are caused by a blockage in the passage of fluids in the fluid glands in the anus causing to the creation of pus-filled abscesses. Such blockage leads to the bacterial growth that create pockets in the abscesses. If left untreated, these abscesses may grow and push out anus to drain the pus. In most cases, these abscesses become fistulas. 

Anal fistulas may also be caused due to diseases such as tuberculosis and due to certain sexually transmitted diseases. 

How to Identify Fistula? 

Anal fistulas may cause a number of symptoms:

Pain at the bottom 
Redness and swelling around the anus
Occasional bleeding
Pain when passing stool 


Fissures are tears in the moist tissue of the anal region, which causes painful spasms and itching in the anal region. Fissures can be categorised into two types depending on the condition severity:

1. Acute fissures

These are new fissures which can be treated easily with medication or at home or may heal on their own.

2. Chronic fissures

Fissures lasting for more than 8 to 12 weeks require medical intervention for treatment. Chronic fissures also develop a skin tag and an extra growth of tissues called hypertrophied papillae. 

Cause of Fissures

Anal tears causing anal fissures may be caused by a number of reasons which may include the following:

Chronic diarrhoea
Straining hard during passing stools
Anal intercourse
Passing large and/or hard stools

Some of the lesser common yet possible causes of fissures may include the following:

Crohn's disease

How to Know if you have Fissures?

The symptoms of fissures are usually present from the beginning of the problem due to anal tearing with ensuing pain. There can be additional symptoms of fissures:

Occasional bleeding, particularly during passing stools
Mucus-like discharge
Pus-filled boils, usually painful
Pus-filled boils, usually painful
Experiencing painful muscle spasms in the anal region 
Lump or skin tag near the anal fissure

Frequently Asked Questions

Common Questions

Laser treatment uses focused light energy to precisely target and shrink hemorrhoids (piles), promote healing of fissures, and close fistulas. It's a minimally invasive procedure with fewer complications and faster recovery compared to traditional surgery.

Laser treatment offers benefits such as minimal pain, faster healing times, reduced risk of infection, and fewer post-operative complications. It also allows for precise targeting of affected areas.

Laser treatment is suitable for patients with mild to moderate piles, fissures, or fistulas who have not responded well to conservative treatments like medications and lifestyle changes. Your proctologist will assess your condition to determine suitability.

Yes, laser treatment for piles, fissures, and fistulas is considered safe when performed by trained and experienced proctologists. It is minimally invasive and generally associated with fewer risks compared to traditional surgery.

Side effects are minimal and may include mild discomfort or temporary irritation at the treatment site. Serious complications are rare but will be discussed with you by your proctologist.


Coverage may vary depending on your insurance provider and policy. It's advisable to check with your insurance company regarding coverage for proctology-laser treatments for piles, fissures, and fistulas.

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