Laser Treatment for Piles: How It Works
Medically reviewed by Dr. Sujan Shrestha, MS, MCh

Laser treatment has changed how piles, fissure, and fistula are treated — with less pain and faster healing than traditional surgery.

Piles (hemorrhoids) are swollen blood vessels in the anal area that can cause pain, itching, and bleeding, especially during bowel movements. They are extremely common and highly treatable.

मलद्वार क्षेत्रमा हुने अर्श सामान्य समस्या हो र यसको उपचार सम्भव छ।

How Laser Treatment Works

Laser treatment (LHP — Laser Hemorrhoidoplasty) uses focused laser energy to shrink and seal the swollen tissue from the inside, without the larger cuts needed in traditional surgery. This generally means less pain, less bleeding, and a faster return to normal life.

Who Is a Candidate?

Most grades of piles, along with many cases of fissure and fistula, can be treated with laser techniques. Dr. Shrestha has introduced Nepal-first applications of laser treatment in colorectal pathology.

Recovery

Most patients go home the same day or the next day, with noticeably less discomfort in the first week compared to conventional surgery, though a high-fiber diet and good hydration remain important for full healing.

Frequently Asked Questions

Laser treatment generally causes significantly less pain than traditional surgery, though some discomfort during the first few days is normal.

Recurrence is possible, especially without diet and lifestyle changes, but is generally less frequent than after some conventional methods.

Piles are swollen blood vessels, a fissure is a small tear in the anal lining, and a fistula is an abnormal tunnel that forms near the anus — each has a distinct cause but can sometimes occur together.

Have symptoms like these?

Message Dr. Shrestha's team directly for guidance before booking a visit.