What is piles (laser)?
Piles (haemorrhoids) are swollen blood vessels in and around the anal canal. They are extremely common and usually caused by straining, constipation, prolonged sitting, pregnancy or a low-fibre diet. They are graded 1 to 4 depending on how much they prolapse.
Early piles often settle with diet, fibre and medication. When bleeding or prolapse persists, laser haemorrhoidoplasty (LHP) offers a modern day-care solution: laser energy shrinks and seals the piles from within, avoiding the open wounds and long, painful recovery of conventional surgery.
Symptoms & when surgery is needed
How it is diagnosed
- Clinical examination and digital rectal examination
- Proctoscopy to see the internal piles and grade them
- Colonoscopy when bleeding needs a full evaluation, especially over age 45 or with a family history
Treatment options
Laser haemorrhoidoplasty (LHP)
A fine laser fibre seals the piles from inside — no cuts, no stitches, minimal pain and same-day discharge.
Rubber-band ligation
An OPD procedure for grade 1–2 internal piles, cutting off the blood supply with a tiny band.
Sclerotherapy
Injection treatment that shrinks small early piles.
Stapled / conventional surgery
Reserved for very large grade-4 or mixed disease where laser alone is not enough.
The procedure, step by step
- 1
Day-care admission
A short fasting period; the procedure is done under short general or spinal anaesthesia.
- 2
Assessment
The piles are graded through a proctoscope and the laser plan is set.
- 3
Laser sealing
A thin laser probe delivers controlled energy that shrinks the pile and seals its feeding vessels.
- 4
No open wound
Because tissue is treated from within, there are no cuts to stitch, which is why pain is minimal.
- 5
Discharge
Most patients go home within a few hours with simple medication.
Recovery timeline
Same day
Home within hours; walking and light meals the same evening.
1–2 days
Return to desk work; mild discomfort managed with tablets.
3–5 days
Normal routine; bleeding and swelling settle.
2–3 weeks
Complete healing; continue a high-fibre diet to prevent recurrence.
Risks & considerations
- Mild pain, a little bleeding or swelling for a few days
- Temporary difficulty passing urine (uncommon)
- Recurrence if constipation and straining continue
- Rarely, a residual skin tag needing minor attention
Cost in Hyderabad
| Procedure | Indicative range |
|---|---|
| Laser piles treatment (grade 2–3) | ₹40,000 – ₹85,000 |
| Grade 4 / mixed haemorrhoids | ₹70,000 – ₹1,10,000 |
| Rubber-band ligation (per session) | ₹5,000 – ₹12,000 |
| Sclerotherapy (per session) | ₹4,000 – ₹9,000 |
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 treatment is done from inside the pile, so there are no external cuts or stitches — the main reason pain is far less than with conventional surgery. Most people manage with simple tablets and return to work within a day or two.
Grade 1–2 piles often respond to diet, medication and OPD procedures like banding. Grade 3–4 piles, or persistent bleeding and prolapse, are best treated with laser haemorrhoidoplasty. Dr. Reddy grades the piles before advising treatment.
It typically ranges from about ₹40,000 to ₹85,000 for grade 2–3 disease, varying with grade, technique and hospital. You will receive a clear estimate after examination.
Laser treatment is very effective, but piles can recur if the underlying constipation and straining continue. A high-fibre diet, adequate water and healthy toilet habits keep recurrence low.
Medically reviewed by Dr. Y. Satish Reddy
MS, PDF (Surgical Gastroenterology) · Updated 1 September 2026