What is laser proctology?
Proctology deals with conditions of the anus and rectum — piles, fissures, fistulas and pilonidal sinus. Traditional surgery for these involved painful open wounds and long recoveries, which is why many people delayed treatment for years.
Laser proctology uses focused energy delivered through a fine fibre to treat the problem from the inside, preserving healthy tissue and the anal sphincter. The result is less pain, less bleeding, faster healing and a discreet, day-care experience.
Symptoms & when surgery is needed
How it is diagnosed
- Focused clinical and digital rectal examination
- Proctoscopy to grade internal disease
- MRI fistulogram for complex fistulas
- Colonoscopy when rectal bleeding needs full assessment
Treatment options
Laser haemorrhoidoplasty
Seals piles from within — no cuts or stitches.
Laser fissure & sphincter care
Releases spasm and treats chronic fissures precisely.
Laser fistula (FiLaC)
Sphincter-preserving closure of fistula tracts.
Laser pilonidal sinus (SiLaC)
Minimally invasive treatment of pilonidal sinus with a fast return to work.
The procedure, step by step
- 1
Consultation
A discreet assessment grades the problem and plans the least-invasive option.
- 2
Day-care admission
Short fasting; spinal or brief general anaesthesia.
- 3
Laser treatment
The condition is treated from within using the appropriate laser technique.
- 4
Minimal wound
Tissue-sparing means little or no external wound and less pain.
- 5
Same-day discharge
Home within hours with clear aftercare instructions.
Recovery timeline
Same day
Discharge within hours; walking and light meals the same day.
1–2 days
Back to desk work for most procedures.
1 week
Routine activity resumes; symptoms settle.
2–4 weeks
Complete healing with diet and hygiene advice.
Risks & considerations
- Mild pain, swelling or minor bleeding for a few days
- Recurrence if lifestyle factors are not addressed
- Temporary urinary hesitancy (uncommon)
- Occasional need for a complementary procedure in complex disease
Cost in Hyderabad
| Procedure | Indicative range |
|---|---|
| Laser piles treatment | ₹40,000 – ₹85,000 |
| Laser fissure surgery | ₹35,000 – ₹70,000 |
| Laser fistula (FiLaC) | ₹55,000 – ₹1,00,000 |
| Laser pilonidal sinus (SiLaC) | ₹45,000 – ₹85,000 |
These are indicative ranges for Hyderabad and vary with the grade or complexity of the condition, the technique chosen, implants used, room category and insurance. They are not a quotation. Please contact the clinic for a personalised estimate after consultation.
Why choose Dr. Satish Reddy
Frequently asked questions
Laser is used for piles (haemorrhoidoplasty), chronic anal fissures, fistula-in-ano (FiLaC) and pilonidal sinus (SiLaC). Dr. Reddy will advise whether laser is the best option for your specific condition.
Laser treats the problem from inside the tissue and seals as it works, so there are minimal or no open external wounds. Fewer raw surfaces mean less pain and faster healing than traditional open surgery.
For most patients, yes. Laser procedures are typically completed under short anaesthesia with discharge the same day and a return to desk work within a day or two.
Absolutely. Anorectal problems are common and treatable, and consultations are private, unhurried and completely confidential.
Medically reviewed by Dr. Y. Satish Reddy
MS, PDF (Surgical Gastroenterology) · Updated 1 September 2026