Diagnosis-led care using laser, video-assisted, Doppler-guided, stapled, sphincter-saving, and injectable procedures chosen according to anatomy, symptoms, and recovery goals.
Procedure Focus
Treatment is selected after examination, diagnosis, disease stage, and continence-risk assessment.
Fistula care prioritizes tract closure while protecting the delicate anal sphincter muscles.
Modern piles procedures aim to reduce tissue damage and support a faster, less painful recovery.
Early fissures often improve with fiber, warm sitz baths, topical medicines, and stool-softening care.
Fistula Treatments
Advanced fistula procedures aim to close the fistula tract while protecting the delicate anal sphincter muscles and reducing recurrence risk.
A minimally invasive technique where a radially emitting laser fiber is inserted into the fistula tract. Laser energy circumferentially destroys the tract, causing it to collapse and heal while protecting the sphincter muscles.
A sphincter-saving procedure where the surgeon accesses the tract between the internal and external sphincter muscles, ligates it, and divides it.
A rigid fistuloscope with a camera is inserted into the tract, allowing the surgeon to visualize it from inside, remove unhealthy tissue, and close the internal opening under direct vision.
For complex fistulas, a medicated or rubber seton is placed through the tract to allow continuous drainage. Once inflammation settles, a second-stage definitive closure procedure is planned.
Piles Treatments
Modern piles procedures minimize unnecessary tissue trauma and support a virtually painless recovery in suitable cases.
A targeted laser beam coagulates the blood vessels feeding the hemorrhoids. Controlled thermal energy shrinks the pile mass without cutting or stitching, preserving surrounding normal tissue.
A specialized circular stapler removes excess swollen tissue and pulls the remaining hemorrhoidal tissue back into its normal position, reducing blood supply with less pain than traditional excision.
An ultrasound probe locates the arteries supplying blood to the hemorrhoids, and each artery is tied off. Deprived of blood flow, the piles shrink over time.
Fissure Treatments
Early-stage fissures may heal with fiber-rich diet, warm sitz baths, and topical ointments such as nitroglycerin or calcium channel blockers. Chronic fissures may need targeted intervention.
The gold standard procedure for chronic anal fissure. A tiny incision in the internal anal sphincter reduces spasm, improves blood supply, and allows the fissure to heal permanently.
A minimally invasive alternative to LIS that uses laser energy instead of a scalpel for a precise micro-incision, reducing post-operative pain and recovery time.
A nonsurgical approach where Botulinum toxin temporarily relaxes the anal sphincter, relieving spasm and improving blood flow so the fissure can heal.
Need Procedure Selection?
The right procedure depends on fistula anatomy, piles grade, fissure chronicity, sphincter tone, infection status, medical fitness, and recovery expectations.