Fistula Surgeon in Bahadurabad — Pakistan’s First Laser Proctologist

If you live in Bahadurabad and you suspect you may have a fistula, recurrent boils near the anus, or a chronic anorectal problem — you are about as close to a laser-trained specialist as it gets in Karachi. I am Dr. Abdullah Iqbal, Pakistan’s first laser proctologist, and at Karachi Piles Clinic inside Hill Park General Hospital I treat patients from Bahadurabad regularly. Aap akele nahi hain.

Why patients from Bahadurabad choose Karachi Piles Clinic

Bahadurabad is the closest area to Karachi Piles Clinic. The drive from Bahadurabad Chowrangi to Hill Park General Hospital on Shaheed-e-Millat Road takes 5–10 minutes on most evenings. For acute conditions — a perianal abscess, severe fissure pain, fistula discharge — that proximity matters a lot. Several Bahadurabad patients have walked into my clinic the same day they noticed a serious problem, gone home with proper treatment the same evening, and avoided a much bigger problem developing.

I see a particular concentration of fistula and abscess cases from Bahadurabad — partly because of demographics, partly because patients in this area know about the Laser fistulotomy (Laser fistulotomy) approach and specifically seek it out. Many of them come after a previous open fistula surgery that recurred, which is unfortunately common with older techniques.

Over the last few years I have built my practice around three things Bahadurabad patients consistently tell me they value: privacy (the consultation room is fully private, the hospital is professional, and discretion is taken seriously), evening hours so they do not have to take leave from work (Tuesday, Thursday and Saturday 5–8 PM), and laser-based same-day treatment instead of the older open surgery that used to mean a full week of bed rest, painful wound dressings, and weeks of recovery. Yeh aapka problem nahi hai — yeh sirf medical condition hai, aur aaj kal laser se ek hi din mein theek ho jaata hai.

The fourth thing patients mention — and which I take personally — is direct WhatsApp access. You can message me at 0333-2877351 with a question before you even book a consultation. Many Bahadurabad patients send a photo of a prescription they have been given elsewhere, or describe their symptoms in writing, and we figure out together whether they need to come in, what they should bring, and roughly what to expect.

The conditions I see most often from Bahadurabad

I am MBBS (LUMHS, 2012), FCPS in General Surgery (CPSP, 2018), and internationally trained — with more than a decade of surgical experience and 5+ years dedicated exclusively to laser proctology. PMDC Verified #63108-S. To date I have personally performed 5,000+ laser proctology procedures at Karachi Piles Clinic.

While I treat the full range of anorectal conditions from Bahadurabad, the case mix is interesting — a higher than average proportion of fistula and abscess cases, often more complex than what I see from other areas. This is partly why I am sometimes described as the “fistula surgeon” for this part of Karachi.

Bawaseer (haemorrhoids / piles)

By far the most common reason for a consultation. Bawaseer can be internal (you bleed but feel nothing), external (you can feel a lump), or mixed. Patients are graded I to IV based on whether the haemorrhoids stay inside, prolapse and reduce on their own, prolapse and need to be pushed back, or remain prolapsed permanently. For Grade I, conservative treatment (diet, fiber, sitz baths) often works. For Grade II onwards, I usually recommend laser hemorrhoidopexy because the relapse rate on medicine alone is high. The procedure itself takes 30–45 minutes; the patient walks out the same afternoon.

Anal fissure

The sharp cutting pain after passing stool — that classic “like passing glass” description. Acute fissures often heal with ointments and stool softeners. Chronic fissures (longer than 6 weeks, with a sentinel skin tag or fibrotic edges) need a procedure. Laser sphincterotomy resolves the underlying sphincter spasm while sparing the muscle. Recovery is genuinely fast — many of my fissure patients are back at the office in 3 days.

Fistula (bhagandar)

A small opening near the anus that discharges pus, sometimes intermittently for years. Fistula in ano is a particularly important one to treat properly because the older surgical approach — lay-open fistulotomy — sometimes damaged the sphincter and led to incontinence. Laser fistulotomy Tract closure (Laser fistulotomy) preserves the sphincter completely. For Bahadurabad patients with recurrent boils or pus discharge near the anus, fistula must be ruled in or out by examination.

Pilonidal sinus

A painful sinus or cyst at the tailbone region, common in young men in their 20s and 30s. Pilonidal sinus laser treatment has changed the game here — the older “cut and pack” surgery left a deep wound that took 6–8 weeks to fully heal and had a high recurrence rate. Laser closure removes the sinus tract precisely and recurrence is far lower.

Perianal abscess

Acute, severely painful, often comes with fever. Needs same-day drainage — not antibiotics alone. Bahadurabad patients sometimes arrive at my clinic after being prescribed antibiotics by a general practitioner and finding the pain has only worsened. An abscess needs surgical drainage; a course of antibiotics will not resolve it.

I also offer laparoscopic gallbladder surgery, hernia repair, laser lipolysis, and select cosmetic procedures — but for Bahadurabad patients the overwhelming bulk of consultations are anorectal cases. Aksar patients pehle apne mohallay ke clinics mein dawai try karte hain, phir laser ke baare mein sunte hain aur yahaan aate hain.

What makes laser proctology different from conventional surgery

This is the question I answer in almost every Bahadurabad consultation, so let me set it out properly:

Conventional open surgery for piles — the procedure most older relatives describe with a wince — involves physically cutting and removing the haemorrhoidal tissue, leaving an open wound that takes 4–6 weeks to heal completely. Recovery is painful. There is post-operative bleeding for several days. There is dietary restriction. There are stitches that may need attention. Many patients return to a desk job in 2–3 weeks; physical workers and field staff often take longer.

Laser hemorrhoidopexy is fundamentally different. A fine laser fibre is introduced through the anal canal under anaesthesia, and laser energy shrinks the haemorrhoidal tissue from inside while sealing the feeding blood vessels at the same time. There is no external cut. There is no open wound. There are no stitches to remove. Most of my patients walk out the same day with mild discomfort that is well-controlled by ordinary oral painkillers, and the majority return to office work within 3–5 days. Doosray din ghar par aaram, teesray ya chauthay din phir se kaam — bas itna hi.

The same logic applies to fissure (laser sphincterotomy), fistula (laser-assisted closure), and pilonidal sinus (laser closure). In each case the laser replaces a larger cut with a precise, targeted energy delivery. Less tissue damage. Less pain. Faster return to normal life.

I do still perform conventional open surgery when it is the right answer — not every case is laser-suitable. If a patient has a very complex high transsphincteric fistula, or a Grade IV haemorrhoid with significant external component, sometimes a hybrid or open approach gives the best long-term result. I will tell you honestly which approach fits your case.

Yaad Rakhain
Bawaseer aur fistula chhipane wali cheezein nahi hain. Jitna jaldi treatment shuru hoga, utna chhota procedure, utna kam dard, aur utna jaldi recovery. Laser treatment se ab same-day discharge mumkin hai — agla din aap apne ghar par aaram se guzaar saktay hain. Sharm chhoriye, action lijiye — takleef ko mahinon tak ignore karna kabhi accha faisla nahi hota.

Reaching Karachi Piles Clinic from Bahadurabad

The clinic is located inside Hill Park General Hospital, Shaheed-e-Millat Road, Karachi. The most common routes my Bahadurabad patients use:

• From Bahadurabad Chowrangi — direct via Shaheed-e-Millat Road, around 5–8 minutes.
• From Bahadurabad Society / KDA Hospital area — around 7–10 minutes.
• From Liaquatabad Number 1/2 side — via Lyari Expressway exit, around 10–15 minutes.
• From FB Industrial Area side — around 12–18 minutes via Hassan Square route.

Hill Park General Hospital has its own car park; the reception will direct you to Karachi Piles Clinic on arrival. If you are coming by rickshaw or app-based ride (Careem / inDrive / Bykea), just give the driver “Hill Park Hospital, Shaheed-e-Millat Road” — the hospital is a well-known landmark and every driver in the area can find it.

Evening hours that work for Bahadurabad patients

Because Bahadurabad patients can reach the clinic so quickly, I am also able to accommodate semi-urgent same-day visits for acute conditions like perianal abscess. Most acute abscess patients I see are from Bahadurabad — they call on WhatsApp in the afternoon, come during evening OPD, and the drainage is done that night if needed.

OPD days at Karachi Piles Clinic are Tuesday, Thursday and Saturday, 5:00 PM to 8:00 PM. Sunday and weekday-morning patients can use WhatsApp video consultation — I do these regularly for review of reports, follow-ups, and patients who want a private preliminary discussion before deciding on a face-to-face visit.

Same-day laser procedures are scheduled separately at Hill Park; you do not have to take a week of leave. Most working patients schedule the procedure for a Friday or Saturday, rest at home Sunday, and are back at the office by Tuesday or Wednesday. Office mein chutti lene ki zaroorat nahi.

A note on fistula treatment — what makes laser different

Fistula in ano is one of the most challenging anorectal conditions to treat properly. The older surgical approach — cutting the entire fistula tract open and letting it heal by secondary intention — works, but at the cost of a large wound, weeks of dressings, a meaningful risk of incontinence (especially for high tracks), and a real recurrence rate. Patients who underwent that surgery 10–20 years ago and developed a recurrence often arrive at my clinic deeply skeptical that any procedure can help. I understand that skepticism.

Laser fistulotomy Tract closure (Laser fistulotomy) is fundamentally different. A fine laser fibre is introduced into the fistula tract, and laser energy seals the tract from the inside while preserving the sphincter muscle completely. There is no large open wound. The risk to continence is dramatically reduced. The recovery is measured in days, not weeks.

I have performed Laser fistulotomy on hundreds of Bahadurabad patients now, including a meaningful number of recurrent cases who had open fistulotomy previously. The technique is not magic — complex high transsphincteric fistulas can still recur and may need a staged approach with seton drainage first — but the outcomes have changed dramatically compared to what older surgery offered.

For fistula patients specifically: please bring any previous operation notes, MRI reports, or fistulogram results to the consultation. The more information I have about the tract, the better I can plan the procedure.

What it costs — transparent pricing

I believe in giving prices clearly up-front so you can plan. As of 2026:

• Consultation fee: PKR 2,000. Includes a full clinical examination and a clear treatment plan.
• Laser hemorrhoidopexy (piles): typically PKR 150,000–180,000, depending on grade and number of cushions affected.
• Laser sphincterotomy (fissure): typically PKR 80,000–120,000.
• Laser fistulotomy / Laser fistulotomy (fistula): typically PKR 150,000–220,000, depending on complexity (simple vs branching).
• Sinus Laser Closure (pilonidal sinus): typically PKR 120,000–180,000.
• Perianal abscess drainage: typically PKR 35,000–60,000 for emergency drainage.

The final figure for any individual case is confirmed only after the in-person assessment because complexity varies and I will not quote you blindly. What I can promise is no hidden charges — whatever is quoted in the consultation is what you pay. Hospital theatre charges, anaesthesia, and two weeks of post-op review are bundled in. Hidden charges ka koi maslaha nahi.

Yaad Rakhain
Asli laser treatment mein cheer-phaar (cutting), tankay (stitches), ya hospital admission ki zaroorat nahi hoti. Aap subah aate hain, sham ko ghar wapas. Agar koi clinic aapko bole keh laser ke baad bhi 3–4 din admit rehna paray ga — tau yeh asli laser nahi hai. Sahi laser hemorrhoidopexy same-day discharge procedure hai, aur aapko har step pehle clearly bataya jaye ga.

What to expect on consultation day

If you are coming for the first time, here is what your visit looks like step by step:

1. Arrival & registration (5 minutes): The hospital reception will direct you to Karachi Piles Clinic. Bring any previous prescriptions, test reports, or photos of medication you have tried.
2. Private consultation with me (15–20 minutes): We talk about symptoms, history, family history, what you have tried so far, and how long this has been going on. I do not rush this part. Aap apni problem khulkar bata sakte hain — yahaan koi judgement nahi hai. If you are nervous, that is normal — most patients are.
3. Clinical examination (3–5 minutes): A brief, professional anorectal examination. For most cases this involves a visual inspection and a digital examination. If you are a female patient, a female assistant is always present.
4. Treatment plan (5–10 minutes): I show you what I found, explain the grade or type of condition, and lay out the realistic options — conservative (diet, sitz bath, medication), laser surgery, or rarely conventional surgery. I tell you the cost, the realistic recovery time, and what to expect honestly.

If you and I agree that surgery is the right step, we schedule it for a date that works for your work or family commitments — usually within 2–3 weeks if it is not an emergency. Pre-op investigations (blood tests, sometimes an ECG for older patients, sometimes anaesthesia clearance) are arranged at Hill Park itself in a single appointment.

If the right step is conservative treatment for now, that is what I recommend. I do not push surgery on patients who do not need it. My practice has built its reputation on honest assessment, not on quick conversions.

For Bahadurabad women: privacy and respect

I want to address something that comes up often. Female patients sometimes message me on WhatsApp first to ask whether the clinic is private and whether I see female patients. The answer to both is yes, unequivocally. A female assistant is always present during examination. The consultation room is fully private and not shared. The hospital is well-lit, professional, and discreet. Khwateen patients ka particular khayal rakha jata hai — sharm ya jhijhak ki koi baat nahi.

Many female patients prefer WhatsApp video consultation first to discuss symptoms in privacy before committing to an in-person visit. This is completely fine and is part of how the practice runs. Pregnant patients with haemorrhoids — a very common combination — can also start with a WhatsApp consultation to plan whether to treat now or after delivery.

Common misconceptions I hear from patients

“Laser ke baad bhi recurrence hota hai.” — Recurrence after laser hemorrhoidopexy in appropriately selected cases is uncommon when post-op advice is followed (high-fiber diet, adequate water, avoiding straining). Where recurrence does happen, it is often because the underlying cause — chronic constipation, low fiber intake — was not addressed.

“Bawaseer sirf buzurg logon ko hoti hai.” — Not true. I see Bahadurabad patients in their 20s with significant piles, often related to long sitting hours, low-fiber diet, and chronic constipation. The earlier you address it, the smaller the procedure needed.

“Operation ke baad mein zindagi bhar takleef rahegi.” — This was sometimes true with old open surgery, especially fistula. With modern laser techniques the long-term outcome for the majority of patients is excellent, with a return to entirely normal quality of life.

“Pehlay desi totke try karta hoon, agar nahi theek hua to doctor ke pass.” — Many patients try home remedies for 6 months to 2 years before seeing a doctor. By then a Grade I problem has often become Grade III, and the procedure required is bigger. I do not judge anyone for trying home remedies first — but if you have been bleeding or in pain for more than a few weeks, please come in for a proper examination.

Frequently asked questions from Bahadurabad patients

Patients also visit from these areas

Karachi Piles Clinic serves patients across the city. If you are looking for an area-specific guide:

• Fistula treatment — full guide
• Bawaseer doctor in PECHS Karachi
• Piles doctor in DHA Karachi
• Laser proctologist in Clifton
• Laser piles treatment in Gulshan-e-Iqbal
• Piles doctor in North Nazimabad
• Piles doctor in Bahria Town Karachi
• Piles doctor in Federal B Area Karachi
• Piles doctor in Karachi — main pillar
• Contact & appointment booking

Last reviewed by Dr. Abdullah Iqbal (MBBS, FCPS General Surgery, Laser Proctology) — May 2026. This article is for general information about laser proctology services for patients in Bahadurabad, Karachi, and does not replace an in-person medical consultation.