Proctological treatments

Indications for laser hemorrhoid removal?

The LHP method is particularly effective in treating:

• hemorrhoids of the second degree (prolapsing during straining but spontaneously reducing)
• hemorrhoids of the third degree (requiring manual reduction)
•  in selected cases of fourth-degree hemorrhoids

The main advantages of laser hemorrhoid removal are:

• low invasiveness of the procedure;
• high precision of the procedure: the diode laser acts selectively on hemorrhoidal tissues, minimizing the risk of damage to surrounding structures;
• short procedure time (approximately 20 minutes)
• minimal postoperative pain compared to other methods
• quick return to daily activities (2-5 days)
• low risk of complications
• same-day procedure;
• high therapeutic effectiveness
• no extensive tissue incisions.

Other applications of lasers in proctology

In addition to laser treatment of hemorrhoids (LHP), at Klinika Flebologii, we utilize laser technology in the treatment of other proctological conditions. Our experience and modern equipment allow for the effective and minimally invasive treatment of ailments such as:

Laser treatment of anal fissures

• an anal fissure is a small, narrow tear in the skin (known as the anoderm) that physiologically lines the anal canal. This condition can cause significant discomfort and pain, especially during bowel movements. Using a diode laser, controlled vaporization of tissues can be performed to close the fissure. This approach minimizes the risk of uncontrolled bleeding, can be performed under local anesthesia, and significantly shortens the recovery period.

Price range

Patient preparation for laser hemorrhoid removal

Before the LHP procedure, the patient should undergo a consultation with a proctologist, during which the doctor will assess the stage of the disease and rule out any contraindications to this type of procedure. Preparation for the laser procedure includes:"

Description of the laser hemorrhoid treatment procedure

The laser hemorrhoid removal procedure (LHP) actually begins at the patient preparation stage. Before the laser procedure, the rectum should be cleansed with an enema; full bowel preparation is not required.

At the Phlebology Clinic, local anesthesia is most commonly used. The patient is positioned in the lithotomy position (similar to a gynecological exam – lying on the back with legs raised and bent at the knees), after which the surgical field is disinfected. The proctologist surgeon, after locating the hemorrhoidal nodules, assesses the stage of advancement of each one. In the next step, millimeter-sized incisions are made in the area of the nodules, through which a thin 1470 nm diode laser fiber optic cable (ELVeS system) is inserted.

Laser treatment of haemorrhoids - what does it involve?

Are hemorrhoids making your life difficult? Laser treatment could be the solution! Discover how this innovative treatment method allows for a quick return to everyday comfort. Minimal procedural pain, without a long recovery!

Post-operative care after laser hemorrhoid removal

After the LHP procedure, the patient should follow the instructions of the proctologist. These typically include:

• avoiding strenuous physical activity for approximately 7-10 days after the procedure.
• use of prescribed pain relievers if needed;
• personal hygiene: maintaining hygiene of the anal area to prevent infection;
• diet: consuming a high-fiber diet to prevent excessive constipation;
• follow-up visit: attending the scheduled follow-up appointment to monitor the healing process and assess the effects of the procedure;
• physical activity: the time to return to exercise must be determined with the attending physician.

Contraindications for the LHP procedure

Typical contraindications for the laser hemorrhoidoplasty procedure include:

• active infection in the anal area (e.g., abscess, fistula)
• inflammatory bowel diseases (e.g., Crohn's disease);
• significant coagulation disorders;
• known allergy to anesthetic agents or materials used during the procedure;
• pregnancy

Complications of the LHP procedure

The LHP procedure is considered safe, but like any medical procedure, it may be associated with the risk of complications. The most common include:

• pain and discomfort: usually subside spontaneously within a few days
• bleeding: usually minor, may occur up to two weeks after the procedure
• infection: rare, but may require pharmacological treatment
• thrombosis: in rare cases, blood clots may form in the hemorrhoidal nodules
• damage to surrounding tissues: may occur as a result of the laser's action or disinfectants;
• anal stenosis: very rare, may require surgical treatment
• sphincter damage or rectal wall perforation: very rare, but may require reoperation
• allergic reactions: to anesthetics or other substances;
• temporary changes in bowel movements;
• urinary retention: temporary, may require catheterization

At the Phlebology Clinic we make every effort to minimise the risk of complications and our specialists remain available to patients during the recovery period. If you experience any worrying symptoms, please contact our Registry immediately.