Treatments

What is Laser Surgery for Piles, Fissure & Fistula?

Laser surgery for piles, fissure, and fistula is a state-of-the-art minimally invasive technique in which a focused, high-precision laser beam is used to treat affected anorectal tissues. Unlike conventional open surgery, which requires large incisions and stitches, laser surgery seals or destroys diseased tissue with pinpoint accuracy — preserving all surrounding healthy tissue. The result is virtually no bleeding, minimal post-operative pain, and an extremely fast recovery. Laser treatment for anorectal conditions is now considered the global gold standard and is the preferred choice of surgeons and patients alike.

Conditions Treated with Laser Surgery by Dr. Sudesh Lahane

Dr. Sudesh Lahane uses advanced laser surgery to treat the following anorectal conditions at his clinics in Navi Mumbai:

Laser Piles Surgery (Hemorrhoids) — What to Expect

Piles or hemorrhoids develop when the veins around the anus or inside the rectum become swollen and inflamed. Common symptoms include bright red bleeding during bowel movements, itching, pain, and a feeling of incomplete evacuation. When lifestyle changes and medications fail to provide relief, laser piles surgery is the most effective and long-lasting solution.

During the procedure, Dr. Sudesh Lahane uses a laser fibre inserted through a proctoscope to deliver controlled laser energy directly to the hemorrhoidal tissue. The laser shrinks and seals the blood supply to the piles, causing them to gradually shrink and disappear. The entire laser piles surgery takes approximately 20–30 minutes. It is a daycare procedure — patients return home on the same day with minimal discomfort.

• No large incisions or external wounds
• Minimal bleeding — laser seals vessels as it works
• No hospitalization — daycare procedure
• Return to work within 2–3 days
• Effective for all grades of piles (Grade 1 to Grade 4)

Laser Treatment for Anal Fissure

An anal fissure is a small tear or cut in the lining of the anus that causes sharp pain — especially during and after bowel movements — along with bright red bleeding. Chronic fissures that have not healed with medication and dietary changes require surgical intervention. Laser fissure treatment by Dr. Sudesh Lahane delivers precise laser energy to relax the internal anal sphincter (Lateral Internal Sphincterotomy via laser) and seal the fissure without damaging surrounding tissue. The procedure takes 10–15 minutes, is done under local anesthesia, and causes very minimal post-operative discomfort.

• Precise sphincter relaxation without incision risk
• Very low risk of incontinence compared to conventional method
• Minimal pain — patients often resume activity next day
• Highly effective for both acute and chronic fissures

Laser Fistula Surgery (FiLaC® Technique) — Fistula-in-Ano

Fistula-in-ano is an abnormal tunnel or tract that forms between the inside of the anal canal and the skin around the anus, often following an abscess. It causes persistent discharge, pain, swelling, and repeated infections. Traditional fistula surgery carries risks of damage to the sphincter muscle and incontinence. Laser fistula surgery using the FiLaC® (Fistula-tract Laser Closure) technique, as performed by Dr. Sudesh Lahane, inserts a radial-emitting laser fibre into the fistula tract and precisely destroys the tract lining from inside — without cutting the sphincter. This approach significantly reduces the risk of incontinence and has a strong success rate for complex fistulas.

• Sphincter-preserving — no risk of fecal incontinence
• Effective for complex, recurrent, and high fistulas
• Minimal external wound — heals quickly
• Significantly shorter recovery than conventional fistulotomy

Laser Surgery vs. Conventional Surgery — Comparison

Parameter	Laser Surgery	Conventional Surgery
Procedure Time	20–30 minutes	45–90 minutes
Bleeding	Minimal	Significant
Post-Op Pain	Very Low	Moderate–High
Hospitalization	Daycare (Same Day)	1–3 Days
Recovery to Normal	2–3 Days	7–14 Days
Risk of Infection	Very Low	Higher
Sphincter Safety (Fistula)	Fully Preserved	Risk of Damage
Recurrence Rate	Lower	Higher

Symptoms That Indicate You Need Laser Treatment

You should consult Dr. Sudesh Lahane for laser piles, fissure, or fistula surgery if you experience any of the following symptoms:

• Bright red bleeding during or after bowel movements
• Severe pain in the anal region during or after passing stools
• Persistent itching, burning, or discomfort around the anus
• A lump or swelling near the anus (external piles)
• Pus or foul-smelling discharge from the anal area (fistula)
• A feeling of incomplete bowel evacuation
• Piles or fissure that has not healed despite medication for 4–6 weeks

Post-Operative Care After Laser Piles, Fissure & Fistula Surgery

Dr. Sudesh Lahane provides all patients with detailed aftercare instructions to ensure smooth recovery following laser piles, fissure, or fistula surgery. General post-operative guidelines include:

• Eat a high-fibre diet (fruits, vegetables, whole grains) to prevent constipation
• Drink 8–10 glasses of water daily to keep stools soft
• Take prescribed stool softeners, antibiotics, and pain medication as advised
• Sitz bath (warm water soak) 2–3 times daily for soothing relief
• Avoid spicy food, alcohol, and heavy lifting for 2 weeks
• Avoid prolonged sitting on the toilet — do not strain
• Attend follow-up appointments at 1 week and 1 month post-surgery