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Laser in proctology

To begin with, I would like to explain in brief the meaning of Laser and Proctology. Laser is a newer technique in the field of surgery, in which laser beams are used to treat the pathology or the disease. Laser rays are different from other energy sources in which the heat produced and its penetration to the adjacent tissue is minimum. The laser works on the principle of vaporizing the solid tissue while converting the liquid into solid state.


Proctology is a branch of Surgery which deals with the diseases focused mainly to anorectal region like Hemorrhoids (piles), Fissure-in - ano, Fistula- in – ano and Pilonidal sinus. After the invention of laser for treatment of the above-mentioned conditions, the outlook of treatment and fear of pain or recurrence has changed completely. In the earlier days, the treatment used to be very painful and had a long-term effect in daily routine and lifestyle. Laser treatment of piles, fissure, fistula and sinus is made in a way which is pain free with the advantage of resuming activities of daily living almost immediately. Other advantage of laser is that it doesn’t lead to any disturbance in anatomy of anal region and post operative fibrosis and scarring, thus making the post-operative lifestyle complication free.


In hemorrhoids, the dilated veins filled with blood are converted to solid state resulting in gradual shrinkage of pile mass. In fissure-in- ano, the non-healing ulcerated area is ablated by laser leading to vaporization of ulcerated mucosa with subsequent healing by normal mucosa. In fistula and pilonidal sinus, the unhealthy granulation tissue is ablated with subsequent vaporization of unhealthy granulation tissue. Later, the cavity collapses and is replaced by healthy granulation tissue and subsequent healing of fistula and pilonidal sinus.


Summarizing the advantages of Laser in treatment of Hemorrhoids (piles), Fissure-in - ano, Fistula- in – ano and Pilonidal sinus:

  1. No or minimal post- op pain
  2. Minimum duration of hospital stays (Can be done as day -care surgery)
  3. Very low recurrence rate as compared to open surgery
  4. No or minimal bleeding
  5. No need of dressings
  6. No need for long term pain relief treatment
  7. No post- op fibrosis or risk of anal incontinence.