As a surgeon, I often meet patients who come to me hesitantly, sometimes even embarrassed, to talk about problems like piles, fissures, or fistulas. Let me begin by saying this clearly: these conditions are common, medical, and treatable. There is nothing to feel awkward about. Thanks to advances in medicine, laser proctology has transformed how we manage these issues – making treatment safer, quicker, and far more comfortable than before.

What is laser proctology?

Laser proctology refers to the use of precise medical lasers to treat diseases of the anal and rectal region. Conditions such as piles (haemorrhoids), anal fissures, anal fistulas, and pilonidal sinus can now be treated using laser energy instead of traditional open surgery.

The laser delivers controlled heat to the affected tissue, allowing us to treat the problem accurately while preserving healthy surrounding structures. Think of it as targeted treatment rather than wide cutting.

Why laser instead of conventional surgery?

Traditional surgery often involves larger cuts, stitches, and longer healing times. Laser proctology, on the other hand, is minimally invasive. For patients, this translates into:

• Significantly less pain after the procedure
• Minimal or no bleeding
• No large wounds or stitches in most cases
• Faster healing and early return to daily activities

Many patients are surprised to hear that most laser procedures are done as day-care surgeries, meaning you can go home the same day.

Conditions commonly treated with laser proctology

Let me briefly explain a few common conditions:

Piles (Haemorrhoids): Piles are swollen blood vessels in the anal canal that cause bleeding, pain, or a feeling of something coming out. Laser treatment shrinks these vessels from the inside without cutting them open, leading to faster recovery and minimal discomfort.

Anal Fissure: A fissure is a painful tear in the anal lining, often associated with severe pain during bowel movements. Laser treatment helps relax the tight muscle and improves blood flow, allowing the fissure to heal naturally.

Anal Fistula: A fistula is an abnormal tunnel between the inside of the anus and the skin outside. Laser treatment seals this tunnel from within, preserving the muscles responsible for bowel control – a major advantage over older techniques.

Pilonidal Sinus: This condition usually occurs near the tailbone and can cause repeated infections. Laser treatment cleans and closes the sinus tract with minimal tissue damage, reducing recurrence and downtime.

Is laser treatment safe?

Yes. Laser proctology is safe, well-established, and widely practiced when performed by trained specialists. The precision of laser energy allows us to treat only the diseased tissue, reducing the risk of complications. Before recommending laser treatment, we always assess the severity of the condition, overall health, and individual needs of the patient.

What should you expect on the day of the procedure?

The procedure is usually performed under short anaesthesia or local anaesthesia, depending on the condition. The treatment itself often takes less than an hour. After a brief observation period, most patients can walk out comfortably and return home.

Post-procedure care is simple – basic hygiene, mild pain medication if needed, and dietary advice to ensure smooth bowel movements.

Life after laser proctology

One of the most rewarding moments for me as a doctor is when patients tell me, “Doctor, I wish I had done this earlier.” Relief from pain, fear of using the toilet, and ongoing discomfort can be life-changing.

Laser proctology is not just about treating a disease – it is about restoring comfort, dignity, and confidence. If you are experiencing symptoms, early consultation can make treatment simpler and recovery quicker. Modern medicine has made these procedures gentler than ever, and you deserve care that is effective, respectful, and reassuring.