Hemorrhoid Laser Procedure (Laser Hemorrhoidectomy)

Hemorrhoid Laser ProcedureHemorrhoids are dilated blood vessels that are seen the lower in the gastrointestinal tract within the rectum and around the anal opening. There are a number of factors that can result in the formation of hemorrhoids.

Clinical symptoms range from being completely without symptoms to itching and bleeding from the hemorrhoids. In such situations, treatment is required that will help get rid of the hemorrhoids and relieve the symptoms. One such treatment option is hemorrhoid laser procedure.

In this article, we shall take a brief look at hemorrhoid laser procedure.

What is Hemorrhoid Laser Procedure?

Hemorrhoid laser procedure is a clinical procedure where hemorrhoids are removed using specialized equipment that emit laser. It is similar to other surgeries that are performed to manage hemorrhoids. The ultimate goal of laser treatment for hemorrhoids is to get rid of the condition completely and relieve the patient’s symptoms.

Why Laser Procedure?

The reason for performing laser hemorrhoid procedure is the symptoms that accompany hemorrhoids. These can include irritation around the anal orifice, itching, leaking and mild amount of bleeding. In some patients, hemorrhoids can cause a great degree of pain as well.

What Device is Used for Hemorrhoid Laser Procedure?

In order to remove the hemorrhoids, laser hemorrhoid procedure utilizes carbon dioxide or NdYag Laser.

How is Laser Treatment Performed?

doctorBefore the treatment is commenced, patients may be requested to stop taking any blood thinning medications that they are on. In addition, the patient must also inform the doctor of the list of medications that are taken regularly so that the essential ones can be taken and the non-essential ones can be missed if required. Patients may be requested to perform an overnight fast and attend the procedure on an empty stomach. Small sips of water are allowed.

As is the case with any surgical procedure, a detailed explanation of the procedure is provided to the patient and consent is obtained. The patient is admitted to hospital and the patient is placed in position so as to get clear access to the hemorrhoids. After the area is cleaned with antiseptic solution and local anesthetic will be administered. Sometimes, mild sedation may be offered to relieve any anxieties that the patient is experiencing.

A laser beam is directed towards each individual hemorrhoid. It results in the hemorrhoid being cut off and removed completely. Fortunately, there is no significant associated bleeding with the procedure as laser can coagulate the blood simultaneously.

Once the hemorrhoids have been removed, the area is cleaned with antiseptic yet again and the patient is discharged back to the ward. The patient is observed for a short period of time (often around two hours) and is then sent home.

Advantages of Laser Procedure for Hemorrhoids

One of the main advantages of hemorrhoid laser treatment is that the procedure is very quick to perform and only results in a small amount of bleeding if any. Patients recover a lot quicker and can return to the normal daily activities within a day.

Healing of the hemorrhoid sites is also fairly quick. The damage to the nearby tissues is minimal which is a big advantage over conventional hemorrhoid procedure. Patients are still advised not to perform any strenuous activity for at least two weeks following the procedure.


There are a handful of their disadvantages associated with laser procedure for hemorrhoids. For example, some patients may experience numbness around the anal region with can persist for quite a while. A mild amount of bruising around the site is to be expected. This settles down in a few weeks. As the procedure is performed under local anesthesia, the chances of any major complications from this are rare.

While laser hemorrhoidectomy is a useful procedure in managing hemorrhoids, it must be borne in mind that it is only a treatment and not a cure. Patients may still require repeat treatments in the future.

Success Rates

success rateLaser hemorrhoid procedure is associated with tremendous success rates. Not just is it painless to the patient and is the recovery quick; a study that looked at 750 patients who underwent laser treatment for piles had over 98% of them experience successful treatment. Patient satisfaction is almost 100%. There is no doubt that the long-term results associated with hemorrhoid laser procedure are excellent.

The symptom relief obtained from laser is also remarkably higher than standard hemorrhoid removal. Studies have shown that seven days after procedure, over 65% of patients treated with laser hemorrhoid removal and less pain than those treated with a conventional surgical approach.

In addition, patients found it a lot easier to open their bowels within five days as compared to conventional procedure patients would look a lot longer. Another benefit that the hospital experiences is one of lower costs.


Laser hemorrhoid procedure has become a popular treatment option for the management of hemorrhoids. It is well recognized that the benefits that it offers the patient that include short in hospital stays and an early return to work. Clinical symptoms are also believed to a great extent with patients reporting a significant reduction in pain and improvement in their symptoms. The procedure is literally painless and has minimal side-effects.



  • Zahir KS, Edwards RE, Vecchia A, Dudrick SJ, Tripodi G. Use of the NdYag laser improves quality of life and economic factors in the treatment of hemorrhoids. Conn Med. 2000;64:199–203.
  • Hodgson WJ, Morgan J. Ambulatory hemorrhoidectomy with CO2 LASER. Dis Colon Rectum. 1995;38:1265–9.

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