Laser Treatment for Piles,
Fissure and Fistula
Piles decreases quality of life. Laser Surgery can effectively treat your piles
Laser Treatment for Piles in jabalpur
Piles, also termed as haemorroids are normal anatomical structures that we all have.
These anatomical structures made mostly of special vascular tissue that’s on the top of the anal canal. The reason we all have Piles is because they play an important role in the mechanism of continence. This vascular tissue can inflate and deflate contributing to the fine closure of the anal canal.
Only when these normal anatomical structures become abnormal like this increase in size become congested. They start producing symptoms and this is where we talk about haemorrhoidal disease.
When you should look for laser treatment for piles in Jabalpur?
Haemorrhoids (piles) become abnormal when they become swollen and inflated over their normal limits. The reason why they become abnormal could be different. Generally speaking, everything that can cause a prolonged increase pressure inside the abdomen leading to an obstructed odd flow of the blood from the Piles can, in time, lead to abnormal Piles.
For simple things like chronic constipation, prolonged sitting on the toilet trying to defecate can lead to the development of Piles. Sometimes simple standing up for a prolonged time or strenuous physical exercise may contribute to the development of abnormal pathological piles.
Piles become symptomatic only when they become abnormal. By far the most common symptom of Piles will be rectal bleeding. The bleeding normally consists of bright red blood occurring after defecation is often not associated to pain and often pain is not a common symptom of piles.
Haemorrhoids or piles commonly will cause protrusion, bulging, itching and off course bleeding and sometimes even pain.There is a difference between internal and external haemorrhoids.
External haemorrhoids are the ones on the outside of patients. Patient will typically know about them because that will have folds or bulges in the skin. External Haemorrhoids are innervated much like the rest of the skin on the body so that if one were to have a cut or a pinch or pull at the external hemorrhoid it hurts very badly.
Internal haemorrhoids are further inside of the anal canal at the level where the internal Haemorrhoids live. There are no sharp pain sensation nerves so if there is a bulge for example at the level of the internal haemorrhoids a patient might have a feeling that they haven’t completely emptied their rectum after a bowel movement.
For the initial stages, the prolapse reduces spontaneously. If a patients starts for piles treatment during the initial stage the progression can be blocked.
The Piles specially of the early stage will respond to conservative measures and will not require surgical intervention.
When piles become bigger or more swollen, they start prolapsing as well, which means they start protruding through the anus normally, once again, after defecation. This is an advance stage and patient should immediately go for piles treatment.
For more advanced stages, the haemorrhoidal polyps may require minor reduction so the patient himself or herself has to reduce the prolapse back inside and for even more advanced stages, the prolapse may become very frequent, may occur spontaneously, not necessarily associated to defecation and may even become very difficult to reduce, to a point that the Piles may be protruding most of the time.
Discharge and discomfort can also be a consequence of Piles especially when they are large and protruding regularly or more often. Severe pain occurs only when the Piles become thrombosed, which means when they become very big with a large blood clot in it.
Treatment options for Piles
Conventional and Laser Treatment
A surgical intervention remains most effective for piles treatment at the more advanced stages. Treatments like injection sclerotherapy and rubber band ligation can also be considered although these often are only offering temporary relieve and will have to be repeated a few times to keep piles symptoms under control.
When patients come to us for piles treatment, we ask them about exactly what their symptoms are and also ask the quality and the frequency of bleeding as well as. Whether there is associated incontinence bulging or problem with itching or cleanliness.
Usually an examination is performed in which we look at the haemorrhoids, both on the outside of the anus as well as a colonoscopic exam to look at the piles on the inside of the anus. For an external hemorrhoid that has thrombosed depending on the duration of the symptoms and whether the symptoms are improving or not.
The most common treatment approach for piles specially if there is an internal haemorrhoid is hemorrhoid banding.
Here we place a tiny little rubber band right over the hemorrhoid causing the blood supply of the hemorrhoid to be cutoff and then in about four or five days the hemorrhoid actually fluffs off with the bowel movement and the patient doesn’t even usually notice that this has occurred.
Generally, this treatment for piles is offered to patients first because it is much less painful than operative treatment options for piles.
Unfortunately the banding technique does not work on the external haemorrhoids because they are on the outside and do have those sensitive nerves in them that will cause excruciating pain. If banded with a hemorrhoid rubber band the operative hemorrhoidectomy is probably one of the most painful operations. We encourage patients to try all other measures prior to proceeding with operative hemorrhoidectomy but some haemorrhoids disease is only going to be fixed with operative treatment.
Surgical Options for Treatment of Piles
If a patient were to elect to have an operative hemorrhoidectomy the patient would come into the hospital the same day of the procedure. Have the procedure and then go home that same day.
Patients are advised that if they need an operative hemorrhoidectomy they are going to be quite sure. They are probably going to not feel like going to work or doing any important activities for at least a week. After that, we do advise a patient that piles aren’t dangerous and keeping them and not having a procedure to fix them is typically not life-threatening.
But we would caution patients to know that they should not write off anal rectal bleeding. Colon Cancer displays similar symptoms.
For more advanced Piles, the most effective option for piles treatment remains is surgery.
Conventional surgery involves the excision of the Piles.This inevitably will leave the patients with three large open wounds which may need several weeks to achieve a complete healing. Inevitably, these lead into prolonged conservative recovery and pain.
Modern surgical option for piles treatment involves a technique called THD.
This operation does not involve any removal any tissue. It’s aimed to correct the piles, preserving those anatomical structure and with them, the role that they play in the mechanism of continence. The procedure consists of isolating one by one, all the blood vessels, feeling the piles, and applying few sutures to reduce main blood flow to the piles which will then shrink and go back to normal size and shape.
After that, for the largest piles, we will introduce another stitch which aims to lift and fix the Piles to where they belong to prevent further sliding of the piles and therefore eliminating the prolapse as well. Since the place where we position the sutures is not very sensitive to pain, the operation is involves minimal post-operative pain, with a quick recovery with negligible morbidity.