Treat Hemorrhoids with Less Pain Using Laser Hemorrhoidoplasty

Hemorrhoids are often an unspoken health problem, even though the symptoms can be very disruptive. Many people feel reluctant to seek treatment due to embarrassment or fear of painful surgery. Today, there is a more modern and comfortable solution to treat hemorrhoids with minimal pain and without open surgery—Laser Hemorrhoidoplasty.

Laser hemorrhoidoplasty is effective for treating moderate to severe hemorrhoids. This procedure offers minimal side effects, helps shrink hemorrhoids, and allows patients to recover more quickly. Let’s take a closer look at how laser hemorrhoidoplasty works.

Hemorrhoid Grades by Severity
Hemorrhoids occur when the veins around the rectum or anus swell and form lumps. If left untreated, hemorrhoids can cause discomfort and interfere with daily activities, especially when sitting or during bowel movements. They are most common in people over 50 and in pregnant women.

There are two main types of hemorrhoids:

• Internal hemorrhoids – Located inside the rectum, usually painless and not visible.
• External hemorrhoids – Found under the skin around the anus, often causing pain, itching, and irritation.

Internal hemorrhoids can worsen over time and prolapse (protrude outside the anus). Their severity is classified into four grades:

• Grade 1: Hemorrhoids remain inside the rectum and usually cause little pain.
• Grade 2: Hemorrhoids protrude when straining but return inside on their own.
• Grade 3: Hemorrhoids protrude and must be pushed back manually. Larger ones may cause pain.
• Grade 4: Large hemorrhoids remain outside permanently and cannot be pushed back.

Early and proper treatment provides better outcomes. Doctors diagnose hemorrhoids through patient interviews, physical examination, and supporting tests such as proctoscopy.

Laser Hemorrhoidoplasty as a Treatment Option
For mild hemorrhoids, lifestyle changes and medication may be sufficient—such as eating more fiber, drinking enough water, avoiding heavy lifting, and taking prescribed medicines.

However, for larger hemorrhoids that protrude, medications only relieve pain and bleeding but do not resolve the problem. In such cases, laser hemorrhoidoplasty offers a minimally invasive solution. This technique uses laser energy to shrink swollen veins, gradually reducing the hemorrhoidal mass. An advantage of this method is that it preserves the anal cushion, ensuring bowel movements remain normal. The preparation and procedure are relatively simple, and recovery is typically faster.

Laser hemorrhoidoplasty is usually performed under local or spinal anesthesia. The procedure takes about 15–30 minutes, and patients can go home the same day.

Why Choose Laser Hemorrhoidoplasty?

• Minimal pain without large incisions

• Very small scars
• Short recovery time
• Low risk of complications

Tips to Prevent Recurrence
After undergoing laser hemorrhoidoplasty, patients should follow these preventive measures:

• Avoid heavy lifting or strenuous exercise
• Maintain a high-fiber diet to prevent constipation
• Move regularly and avoid prolonged sitting
• Do not delay bowel movements when the urge arises

If you suffer from persistent hemorrhoid pain, schedule a consultation with a surgical specialist at Tzu Chi Hospital for an accurate diagnosis and the most suitable treatment. Our team is ready to provide complete information on laser hemorrhoidoplasty and other treatment options tailored to each patient’s condition.

 

This article has been medically reviewed by Dr. Tony Yulianto, Sp.B, FICS, FISCP