Piles Treatment in Delhi – Laser Surgery, Cost, Procedure & Top Specialists

It is possible and easy to get Piles treatment in Delhi with surgical intervention. Top medical institutions like MASSH can offer highly specialised and safe surgical treatment that can offer a more permanent treatment for haemorrhoids or piles than symptomatic medicinal treatment. Piles are caused when veins or tissue swell or become inflamed in or around the anus or rectum. 

It is a very common medical problem that affects almost one-third of the entire Indian population at some time. Generally, piles can be treated with home remedies; however, in complex cases, surgical intervention is the safest and most long-term treatment option. So, let’s explore the various piles types and piles treatment options in Delhi. We’ll also discuss the cost of laser surgery in Delhi, as well as the best specialists to get the surgery from at MASSH.

What Are Piles (Haemorrhoids)?

Piles or haemorrhoids are caused by veins or tissue swelling in or around the anus. The inflammation can be caused by a number of factors, and they cause crucial symptoms such as:

• Bleeding during stool passing
• Pain and discomfort in and around the anus
• Itching sensations in and around the anus
• Anal prolapse or the presence of a lump near the anus

The primary causes of piles range from lifestyle and dietary factors. Generally, haemorrhoids are caused when there’s additional pressure on the veins in or around your anus. This pressure is caused due to factors like a sedentary lifestyle, low-fibre diets, and constipation that’s caused by the two factors mentioned. 

If you have to strain during bowel movements very regularly, it increases your risk of haemorrhoids. Other non-medical reasons, like aging, pregnancy, and obesity, can also contribute to piles risk.

No matter the symptoms or the underlying cause of piles, it is important to note that piles are easily treatable with the right and timely medical intervention. To understand your treatment options, let’s first understand how piles can be graded in different categories. This categorisation helps you understand your treatment options better.

Types of Piles & Why Grading Matters

There are primarily two types of piles, which are then graded into categories to assess the condition’s severity. The two types of Piles are internal and external haemorrhoids. Here’s a detailed look at both and their grading categories.

Internal Piles

Internal piles are located in the rectum and not in the anus. They can be painless generally; however, they cause bright red bleeding during stool passing. If internal piles grow too large, they can prolapse or protrude out of the anus during straining. In such cases, the protrusion can be pushed back inside again. Here are the category grades of internal piles.

• Grade 1: Small haemorrhoids that are generally painless and have few symptoms, like bleeding. At this grade, the piles do not protrude.
• Grade 2: At grade 2, the piles protrude out of the anus during bowel movements. However, they retract spontaneously by themselves. At this grade, symptoms like pain during bowel movements may follow.
• Grade 3: The 3rd and 4th grades of haemorrhoids refer to advanced stages. At the 3rd stage, the piles can be significantly large, which cannot spontaneously retract and may require manual push for retraction.
• Grade 4: At this grade, the internal piles can protrude outside the anus permanently. Due to its size and structure, it is not possible to push it back inside again. Grade 4 internal haemorrhoids require corrective surgical treatment.

External Piles

External piles, as the name suggests, develop around the opening of the anus. These types of haemorrhoids are more symptomatic and cause pain, discomfort, itching, and swelling in the region. As these piles are visible externally, they do not require categorical grading. At every size, these piles cause symptoms, which can degrade the quality of life and cause pain.

As a result, external piles require immediate treatment. In some cases, external piles can even be caused by blood clots that occur in swollen haemorrhoidal tissues. This type of external piles is marked by severe pain and inflammation in the region.

Combination Piles

As the name suggests, this type of piles is caused when the patient has both internal and external piles. Combination piles require medical treatment, like laser surgery, to be treated.

When Is Surgery Needed for Piles?

Surgery is one of the only permanent treatment options for piles. For internal piles in the 3rd and 4th grade, surgery can allow the removal of haemorrhoidal tissues and permanently treat the problem. Similarly, surgery is also required when lifestyle changes and dietary treatments are not working anymore. Here are some of the most common symptoms that will require surgical intervention, if present.

• Continued bleeding from the anus during stool passing
• Anal prolapse
• Pain that doesn’t subside by itself
• Poor quality of life caused by the symptoms

It is crucial to note that surgery is important, not when you have the symptoms mentioned above, but when you have identified the problem. Early intervention can help you get an easier surgery with a lower recovery period. This way, you can also prevent complications that come with complex internal, combination, and external piles.

Modern Surgical Options for Piles in Delhi

Generally, doctors recommend a surgical treatment option for piles in Delhi as a permanent treatment for piles in Delhi. Surgeons are introduced to your medical team at that point, and they study your case and decide which surgery is best suited to help you. There are two types of surgery generally recommended for piles, conventional haemorrhoidectomy and laser haemorrhoidectomy. Here’s a detailed overview of both.

Laser Surgery for Piles (Laser Hemorrhoidectomy)

Laser surgery for Piles, also known as laser haemorrhoidectomy, is a minimally invasive surgical treatment for piles. It is a very precise surgery that’s performed laparoscopically using a powerful and precise laser that shrinks and seals swollen haemorrhoidal tissue from within. This surgery does not damage surrounding structures or muscles. 

As a minimally invasive procedure, the lower tissue damage directly equates to a faster recovery time for patients. In fact, the laser coagulates the blood supply to the piles, which leads to size reduction and resolution of the haemorrhoids.

Key Benefits

• Minimal Pain: As the surgery is minimally invasive and doesn’t affect surrounding tissue, the recovery is largely painless after a successful surgery.
• Low Blood Loss: During the surgery, since lasers are used, the blood vessels are sealed, which causes low blood loss during the surgery. This helps improve recovery time in patients.
• Faster Recovery: Minimally invasive surgeries by their very nature allow for fast recovery. The laser piles surgery also uses lasers to create further surgical precision and allow even faster recovery for patients, with the ability to restart daily life in just a few days.

Who is Best Suited for Laser Piles Surgery?

It is important to note that a laser haemorrhoidectomy is not suited for every case. Here is a brief look at the cases where laser piles surgery can successfully intervene.

• Patients with grade 1 or 2 internal piles
• Very specific grade 3 internal piles cases that have been clinically evaluated and approved

Higher-grade internal piles and external piles are not generally recommended for treatment using laser piles surgery. This is why it is important to opt for treatment soon when you notice the symptoms. It can help you go through the laser surgery, which is faster, safer, and has a quicker recovery period.

MIPH (Stapled Hemorrhoidopexy) for Piles

Minimally Invasive Procedure for Haemorrhoids (MIPH) is also known as stapled haemorrhoidopexy. It is a stapler-based surgery that’s specifically suited for advanced internal piles that are in grade 3 or 4. As a minimally invasive procedure, it offers a shorter recovery period and is generally safer than open surgery. However, it has a longer recovery period than laser piles surgery.

MIPH differs from laser piles surgery because it doesn’t target the piles directly. The MIPH surgery is performed by repositioning the prolapsed haemorrhoidal tissue. The prolapsed tissue is brought back into its correct anatomical position, and the excess tissue is cut off. The blood supply to the prolapsed tissue is also cut off, which causes the piles to be permanently treated. 

Even though the laser surgery is known for being largely painless, MIPH also offers similar advantages. Since the surgery is only recommended for patients with advanced internal piles, the surgery is performed above the pain-sensitive area of the anal canal. As a result, the post-operative discomfort of MIPH is also significantly lower compared to traditional open surgery.

Key Benefits of MIPH

• Short Hospital Stay: Patients are generally discharged from the hospital within 48 hours, which is significantly lower than open surgery.
• Effective Treatment for Advanced Piles: The MIPH surgery is among the only permanent treatment options for grade 3 and 4 internal piles.
• Less Pain: Compared to conventional haemorrhoidectomy, MIPH is less painful.

It is important to note that not only does MIPH have key benefits as a minimally invasive procedure, but it can also be an absolutely crucial surgical treatment in some cases, such as:

• Patients who have large protruding internal piles
• Patients who have protruding piles during bowel movements and need manual reduction
• Patients with advanced internal piles that can’t be effectively treated with laser surgery

How to Choose the Best Piles Specialist in Delhi?

The best piles specialist in Delhi must have the following qualifications:

• They should have experience in laser piles surgery and MIPH
• They must have tie-ups with hospitals that have advanced minimally invasive surgical infrastructure
• They must have access to multidisciplinary surgical care

With the right surgical expertise and post-surgical care, you can recover within 14 days and get back to your life. MASSH, as the leading minimally invasive surgery destination in Delhi, can help you get world-class treatment. We are led by experienced laparoscopic surgeons like Dr Sachin Ambekar, along with state-of-the-art surgical infrastructure, including but not limited to 3D laparoscopic surgical suites and advanced imaging solutions. Lastly, as a multispecialty hospital, MASSH offers detailed pre- and post-surgical care without hospitalisation to help you improve surgical outcomes and expedite recovery. Set up an appointment with our specialists today to learn more.

Frequently Asked Questions

1. Is laser surgery for piles permanent?

Yes, laser surgery is used for treating internal piles. However, only early-stage internal piles, such as grades 1 and 2, are best treated using laser piles surgery.

2. Is piles laser surgery painful?

No, laser piles surgery is largely painless, and since it is minimally invasive, there is also minimal pain during the recovery period.

3. Which is better: laser or MIPH?

Laser surgery and MIPH are used to treat different types of piles. Laser surgery is best suited to treat early-stage internal piles, while MIPH is best suited to treat advanced internal piles, generally associated with grades 3 and 4.

4. How long does piles surgery take?

Piles surgery can take as little as a few hours. With hospitalisation, most patients are discharged within 48 hours, with some patients even being discharged on the same day of the surgery.

5. Can piles come back after surgery?

Yes, it is possible for piles to recur after surgery. However, it is caused by dietary and lifestyle causes and not due to surgical improprieties.