Pros & cons of laser treatment for piles: Bangladeshi patients must know

What is laser treatment for piles?

Laser treatment for piles is a minimally invasive procedure where focused laser energy is used to shrink or seal the swollen hemorrhoidal tissue. Unlike traditional surgery, there is no large cut or removal of tissue.

The laser reduces blood flow to the pile mass, causing it to shrink gradually. Over time, the treated pile dries up, and symptoms improve.

This method is commonly used for:

• Internal piles (Grades I-III)
• Selected cases of bleeding piles
• Patients seeking faster recovery with less pain

How does laser piles treatment work?

Laser piles treatment works by using focused laser energy to reduce blood flow to the swollen pile tissue. This causes the hemorrhoid to shrink gradually without cutting or removing tissue. The procedure targets the problem area precisely, which helps relieve symptoms with minimal pain and faster recovery. The procedure usually follows these steps:

• Local or short anesthesia is given
• A laser probe is guided to the polyp tissue
• Controlled laser energy is applied
• Blood supply to the piles reduces
• The piles shrinks over the next few weeks

Common pros of laser treatment for piles

Laser treatment for piles is now an advanced piles treatment all over the world, including Bangladesh. This modern treatment procedure makes the piles treatment much easier and gives comfort. Here we have mentioned some advantages, or pros, of laser treatment for piles:

Laser treatment causes significantly less postoperative pain compared to conventional surgery. There are no large wounds, so nerve irritation is minimal.

Most patients are discharged on the same day. Hospital admission is usually not required unless there are other medical concerns.

Many patients return to daily activities within 2-3 days, which is especially helpful for working professionals.

Laser energy seals blood vessels during treatment, reducing intraoperative and postoperative bleeding.

There is no open surgical wound. This lowers the risk of infection and wound-related complications.

For Grade I-III piles, laser treatment can be an effective option when conservative treatment fails.

Specific cons of laser treatment for piles

Though laser treatment for pies is widely accepted and effective but it has some cons. After the long-term revision, the colorectal surgeon reveals some specific cons that are explained here:

Laser treatment is more expensive than traditional methods. Cost can be a limiting factor for some patients in Bangladesh.

Grade IV piles with severe prolapse may not respond well to laser treatment alone. Surgery may still be required.

Laser shrinks the pile but does not remove excess tissue completely. In some cases, symptoms can return.

The outcome depends heavily on the surgeon’s experience and proper patient selection.

Not all hospitals or clinics are equipped with advanced laser systems.

Who is a good candidate for laser piles treatment?

Laser piles treatment is best suited for patients with early to moderate hemorrhoids who continue to have bleeding, discomfort, or irritation despite medicines and lifestyle changes. It works well when piles are internal and not severely prolapsed. A proper clinical examination by a specialist is essential to confirm whether laser treatment is the right option. Laser treatment may be suitable if:

• You have Grade I, II, or selected Grade III piles
• Bleeding is the main symptom
• You want minimal downtime
• Conservative treatment has failed

• You have large prolapsed piles (Grade IV)
• There is associated fistula requiring surgery
• You have recurrent piles after multiple procedures

Laser treatment vs traditional piles surgery

Laser treatment and traditional hemorrhoid surgery are two commonly used approaches for treating hemorrhoids, but they differ in technique, recovery, and patient experience. Laser treatment focuses on shrinking piles of tissue with minimal cutting, while conventional surgery involves removing the piles completely.

Is laser treatment for piles safe?

When performed by an experienced colorectal surgeon, laser treatment is considered safe. Complications are uncommon but may include:

• Temporary discomfort
• Mild bleeding
• Incomplete symptom relief

Life after laser piles treatment

After laser piles treatment, every patient needs to maintain some rules and regulations. We have mentioned here some important guidelines for piles surgery patients.

• Drink plenty of water
• Eat fiber-rich foods
• Avoid prolonged sitting on the toilet
• Do not strain during bowel movements
• Follow prescribed medications and follow-up visits

Take expert solutions for piles treatment!

Choosing the right treatment depends on the piles grade, symptoms, and patient lifestyle. Consultation with a colorectal specialist ensures accurate diagnosis and avoids unnecessary procedures.

In Bangladesh, patients often seek guidance from experienced specialists like Prof. Prof. Dr. Tariq Akhtar Khan, who focuses on evidence-based colorectal care and proper treatment selection rather than one-size-fits-all solutions.