Complete Guide to Piles Treatment in Pune – Laser vs Open Surgery

Piles (haemorrhoids) are swollen and inflamed veins in the rectum and anal canal. They are one of the most common anorectal conditions, affecting millions of adults. Many people delay treatment due to embarrassment — but early consultation prevents progression to advanced grades.

Piles can cause bleeding, itching, pain, and a feeling of incomplete bowel evacuation. Left untreated, they can worsen over time and significantly affect daily life and work.

Internal Piles

Located inside the rectum, internal piles are usually not visible or palpable. The most common symptom is painless bright red bleeding during or after bowel movements. They are classified into Grades 1–4 based on severity of prolapse.

External Piles

Form under the skin around the anus, external piles can cause visible swelling, itching, irritation, and pain — especially while sitting or during bowel movements. Thrombosed external piles can cause sudden severe pain.

Understanding the grade of your piles helps determine the right treatment. Grade 1–2 may respond to non-surgical options; Grade 3–4 typically require laser or surgical intervention.

Piles symptoms vary by type and grade. Do not ignore persistent symptoms — early treatment is simpler and less invasive.

• ●Bright red blood on toilet paper or in the toilet bowl
• ●Itching, irritation, or discomfort around the anus
• ●Pain or soreness, especially during bowel movements
• ●A lump or swelling near the anus (prolapsed piles)
• ●Mucus discharge after passing stools
• ●Feeling of incomplete bowel evacuation

Piles develop when increased pressure on the veins in the rectum and anus causes them to swell. Common contributing factors include:

• ●Chronic constipation and straining during bowel movements
• ●Low-fibre diet and inadequate water intake
• ●Prolonged sitting (desk jobs, long travel)
• ●Pregnancy and childbirth
• ●Obesity and sedentary lifestyle
• ●Heavy lifting and strenuous exercise
• ●Family history of piles
• ●Ageing — tissues supporting the veins weaken over time

Laser Haemorrhoidoplasty (LHP) has replaced open haemorrhoidectomy as the preferred treatment for grade 2–4 piles at leading proctology centres. Here is a direct comparison:

Our daycare laser piles procedure is designed for maximum comfort and minimum disruption to your daily life. Here is what to expect:

1. 1

   Consultation & Diagnosis

   Dr. Jadhav examines the grade of piles, reviews your history, and recommends the best treatment plan.

2. 2

   Pre-Procedure Preparation

   Light fasting and bowel preparation as advised. Our team explains every step clearly.

3. 3

   Laser Treatment (15–45 min)

   Performed under local or short anaesthesia. Laser fibre shrinks haemorrhoidal tissue — no stitches.

4. 4

   Recovery & Observation

   Short rest period of 2–3 hours at the clinic with post-operative instructions.

5. 5

   Same-Day Discharge

   Go home the same day. Most patients resume desk work within 2–3 days.

6. 6

   Follow-Up Care

   Scheduled follow-up visits to ensure complete healing and prevent recurrence.

Sunrise Piles Hospital accepts cashless and reimbursement from major insurance providers including PMJAY (Ayushman Bharat), ESI, Star Health, HDFC ERGO, New India Assurance, Bajaj Allianz, Niva Bupa, United India, Care Health, Reliance Health, and Shaan Medpay Capitals.

Treatment cost depends on the grade of piles and procedure type. Our team assists with insurance documentation and pre-authorisation. Contact us for a personalised estimate.

Do not wait until piles become severe. Consult Dr. Satish Jadhav if you experience any of the following:

• ●Rectal bleeding lasting more than a few days
• ●A lump at the anus that does not go away
• ●Severe pain during bowel movements
• ●Piles that have not improved with home treatment
• ●Symptoms affecting your quality of life or work