Laser Hemorrhoidoplasty
What is Laser Hemorrhoidoplasty? Laser hemorrhoidoplasty (LHP) treats grade 2 and 3 haemorrhoids (piles) by delivering laser energy into the haemorrhoidal cushion through a fine fibre. The laser seals the feeding blood vessels and shrinks the swollen tissue from within, without removing any of the sensitive anal lining. Typical duration at Iswarya Hospital, OMR Chennai: 20–30 mins. Recovery: 2–5 days.
Because there is no external wound, pain is far less than after conventional haemorrhoidectomy and most patients return to work within a few days. The procedure takes about 20 minutes and is done as day care at Iswarya Hospital.
Medically reviewed by Dr. Durai Ravi, Senior Consultant – General, Advanced Laparoscopic, Laser & Robotic Surgeon · Updated 9 October 2026
How is Laser Hemorrhoidoplasty performed?
- 1
Short general or spinal anaesthesia is given.
- 2
A proctoscope is used to identify each haemorrhoid.
- 3
A tiny puncture is made at the base of the pile and the laser fibre is inserted.
- 4
Controlled pulses of laser energy shrink the haemorrhoid and seal its blood supply.
- 5
The process is repeated for each pile, usually three positions.
- 6
No stitches are needed; a light dressing is applied and the patient goes to recovery.
What are the benefits of Laser Hemorrhoidoplasty?
- ✓No cutting or open wound, so pain is minimal
- ✓Day-care procedure with discharge within hours
- ✓Return to work in 2–3 days for most patients
- ✓Preserves the anal lining and sphincter, so no risk of incontinence
- ✓Very little bleeding during or after the procedure
How do you prepare for Laser Hemorrhoidoplasty?
- A proctoscopy or colonoscopy confirms the diagnosis and rules out other causes of bleeding.
- Fast for 6 hours before the procedure.
- A small enema is usually given on the morning of surgery.
- Stop blood thinners as advised by the surgeon.
- Arrange someone to take you home the same day.
What are the risks and side effects of Laser Hemorrhoidoplasty?
- Recurrence in a small proportion of patients, higher with grade 4 piles
- Temporary swelling or discomfort for a few days
- Minor bleeding, usually self-limiting
- Thrombosis (clotting) of an external component
- Not suitable for large prolapsing grade 4 haemorrhoids, which need excision
Your surgeon will discuss all risks with you before the procedure and take appropriate precautions to minimise them.
What is recovery like after Laser Hemorrhoidoplasty?
- Warm sitz baths two or three times daily for a week.
- High-fibre diet, plenty of water and a stool softener to avoid straining.
- Simple painkillers are usually enough; avoid constipating medicines.
- Light activity from the next day; avoid heavy lifting for a week.
- Follow-up at 1 and 4 weeks to confirm the piles have shrunk.
Frequently asked questions about Laser Hemorrhoidoplasty
Is laser piles treatment painful?
There is mild discomfort for a few days, far less than after a conventional cutting operation, because no anal skin is removed. Most patients need only paracetamol.
Which grade of piles can be treated with laser?
Grade 2 and 3 internal haemorrhoids respond best. Large grade 4 piles that stay prolapsed are better treated by stapler or conventional haemorrhoidectomy.
Can piles come back after laser treatment?
Recurrence is around 5–10% over several years. Keeping stools soft and avoiding straining greatly reduces the chance of recurrence.
How soon can I go back to work?
Most patients with desk jobs return in 2–3 days. Those with heavy physical work should wait about a week.
Where can you get Laser Hemorrhoidoplasty in Chennai?
Iswarya Hospital's General & Laparoscopic Surgery department performs a wide range of procedures using minimally invasive (keyhole) techniques for faster recovery, less pain, and shorter hospital stays — including hernia repair, gallbladder removal, appendectomy, and piles/fistula surgery.
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ℹ️ This information is for educational purposes only and does not constitute medical advice. Individual treatment plans may vary. Always consult a qualified healthcare professional before making any medical decisions.