Laser proctology
(Laser surgery for piles, Anal fissure, Anal fistula & Pilonidal sinus)


Dr Chirag J Shah - Best Proctologist in Ahmedabad, Gujarat

Proctologists are doctors who specialize in colon and rectal issues. They focus on conditions that affect the lower digestive tract. They’re often called colorectal surgeons.

A Proctology Clinic with an emphasis on LASER based treatment for anorectal conditions has been started. The aim of the clinic is to help the patients get over the fear of surgery and find a solution for the problem, especially for piles, fissure, and fistula. Here comes the role of laser treatment for anal fistula. If you are tired of searching online regarding piles treatment near me, then you are at the right place.

Hemorrhoids also called as piles is a very common problem but not many people talk about it and continue to suffer without even seeking medical advice, trying alternative therapies as they are afraid of surgical procedures. At our centre more than 75% patients are treated without surgery with modern techniques in an outpatient basis.

  1. Experience of Laser surgery for piles, anal fissure, anal fistula & pilonidal sinus since 6 years.
  2. Already performed more than 3000 proctology cases till date.
  3. State of the art operation theater well equipped with latest Neo V laser machine (Israel ) with 1470 wave length.
  4. Dedicated & qualified nursing staff available 24x7
laparoscopic gallbladder surgeon


Laser Proctology

Piles are the result of swollen veins in the lower anus and rectum. They can cause tissue growths in and around the anus and can lead to significant discomfort. These growths can vary in size and location.

Internal vs. external

Internal piles occur within the rectum and are usually not visible during an external examination. However, in some cases, an external pile may grow to protrude outside of the anus. The medical term for this is prolapsed hemorrhoid.

    Medical professionals grade internal piles on a four point scale

  • Internal Hemorrhoids Internal hemorrhoids are those that originate above the dentate line. They are covered by columnar epithelium which lacks pain receptors, that the reason that they are painless. They were classified into four grades based on the degree of prolapse.
  • Grade I: No prolapse. Just prominent blood vessels.
  • Grade II: Prolapse upon bearing down but spontaneously reduce.
  • Grade III: Prolapse upon bearing down and requires manual reduction.
  • Grade IV: Prolapsed and cannot be manually reduced.

Anal Fistula

An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the opening of the bottom (anus).

  • It’s usually caused by an infection near the anus, which results in a collection of pus () in the nearby tissue.
  • When the pus drains away, it can leave a small channel behind.
  • Anal fistulas can cause unpleasant symptoms, such as discomfort and skin irritation, and will not usually get better on their own.
  • Surgery is recommended in most cases

    Symptoms of an anal fistula

  • Skin irritation around the anus.
  • A constant, throbbing pain that may be worse when you sit down, move around, poo or cough.
  • Passing pus or blood when you poo.
  • Swelling and redness around your anus and a high temperature if you also have an abscess.
  • Difficulty controlling bowel movements in some cases.
Laser Proctology

Anal Fissure

Laser Proctology

Anal Fissure are most commonly caused by damage to the lining of the anus or anal canal, the last part of the large intestine.

Most case occur in people who have constipation,when a particularly larger part tears the lining of the anal canal.

    Other possible causes are:

  • Persistent Diarrhoea..
  • Inflammatory bowel disease (IBD), such as Crohn's disease and ulcerative colitis.
  • Pregnancy and childbirth.
  • Occasionally, a sexually transmitted infection (STI), such as syphilis or herpes, which can infect and damage the anal canal
  • Having unusually tight anal sphincter muscles, which can increase the tension in your anal canal, making it more susceptible to tearing.


1. The New Outpatient Treatment Modalities

The infrared coagulator is for outpatient treatment of internal first and second degree piles. It is the most effective non surgical treatment modality. They give very good results with no side effects. These procedures are painless.

Do not need more than 30 minutes in the clinic. These procedures are called office treatment in the western world, meaning you come from your office during the break, get the treatment done and go back to your office.


It is a day care procedure performed under anesthesia in 30minutes post which the patient can be discharged. Laser energy is delivered by radial fiber directly in the sub mucosal hemorrhoidal nodes to shrink the nodes from inside. Moreover, laser energy used in the laser treatment for fistula reduces the blood supply nourishing the abnormal growth.

LASER surgery for piles prevents the occurrence or recurrence of a prolapse. Also, fissure surgery by laser is much more beneficial for patients facing such intense problems. Search for ‘piles treatment near me’ and you will find the best laser treatment procedures in your nearby location

Formal surgical intervention may sometimes be required called Stapled Hemorrhoidectomy (MIPH).

Laser Proctology

Advantages of Laser treatment over traditional surgery

Minimally Invasive Yes NO
Local Anesthesia Yes NO
Same-day Discharge Yes NO
Post Surgical Pain Minimal Moderate – High
Recovery Quick Slow
Blood Loss Low Chances High Chances

    Laser Treatment: Preparations required:

    If a Patient has to go through Laser Sphincterotomy for anal fissures, then he/she should go through the following procedures first.

  • A rectal exam, to locate the fissure (at the time of diagnosis).
  • Patient should fast before the process
  • Patient should not drink water for 6 hours prior to the surgery.
  • A bowel prep is undertaken. This is to clean the system of any excreta still present and involves giving a laxative or an enema.

    Post surgical care

    To ensure safe and good recovery, a patient has to keep the following things in mind and follow them.

  • The doctor prescribes stool softeners. Patient has to use it as instructed by the doctor.
  • Patient has to change the diet into a high fiber diet.
  • If the patient is an adult then he/she has to keep the anal area free. In case the patient is an infant then the parents or caretakers should change the diapers regularly.
  • The patient can get back to normal and work activities immediately as there is no need for hospitalization.