I want to be straight with you. When patients hear “surgery for piles,” the first thing they feel is fear. Darr lagta hai — I have seen this in thousands of patients at Karachi Piles Clinic. And honestly, that fear kept many of them suffering longer than they should have. Because what they imagined — the cuts, the stitches, the long painful recovery — that is the old way. Not what we do now.
I introduced laser treatment for piles in Pakistan in 2021. First to do it here. And since then, in my experience, it has completely changed how my patients go through this. Let me explain properly. And if you are not yet sure about your grade, first read: bawaseer ki alamat aur Grade kaise pehchanen.
📌 Medical Point
Laser treatment bawaseer ke liye Grade 2 aur Grade 3 mein sabse zyada effective hai. Isme koi cut nahi lagta, same day ghar ja sakte hain, aur recovery 3 se 5 din mein hoti hai. Grade 4 mein aksar combination approach zaroori hoti hai — laser alone sufficient nahi hota.
Laser Aur Purani Surgery Mein Kya Farq Hai — Dono Mein Se Kaun Sa Behtar Hai?
Har roz patients mujhse yahi poochte hain. So here it is, simple:
| Factor | Traditional Surgery | Laser Treatment |
|---|---|---|
| Cuts / incisions | Yes — surgical cuts | No cuts at all |
| Anesthesia | General (full sleep) | Local or spinal |
| Hospital stay | 1–3 days | Same day — go home |
| Post-op pain | 2–4 weeks, significant | 1–2 days, mild |
| Return to work | 3–6 weeks | 2–3 days |
| Recurrence risk | ~20–30% at 5 years | ~5–10% with lifestyle care |
Yeh difference — this is why patients who come to me after researching always say “doctor, pehle kyon nahi aaye.” Exactly.
Laser Treatment Mein Kya Hota Hai — Step By Step Kya Process Hai?
A thin laser fiber — pencil tip size — is inserted through the natural opening. No cuts. The laser energy targets only the hemorrhoidal blood vessels, shrinks them, and seals them. Healthy surrounding tissue is completely undisturbed. That is why recovery is so fast. The whole procedure takes 20 to 40 minutes. You rest for an hour or two, and then go home.
In my experience, most patients are surprised by how simple it is compared to what they expected. Aksar log kehte hain — “itna hi tha?” Yes. Itna hi tha.
Kaun Se Patients Ke Liye Laser Treatment Sahi Hai — Aur Kiski Ke Liye Nahi?
Grade matters. Here is what I follow at Karachi Piles Clinic:
| Grade | My Recommendation |
|---|---|
| Grade 1 — bleeding only | Diet and medication first. Laser if no improvement in 4–6 weeks. |
| Grade 2 — prolapse that goes back on its own | Laser is ideal. Very effective with fast recovery. |
| Grade 3 — needs manual push back | Laser is first-line. This is where it works best. |
| Grade 4 — permanently prolapsed | Laser with possible combination. Assessed individually. |
Kya aap Grade 2 ya 3 mein hain? Then laser is probably right for you. Kya aapko abhi tak pata nahi? Then come for a consultation first — we examine and tell you honestly.
Laser Treatment Ke Baad Kya Hota Hai — Recovery Mein Kya Expect Karein?
Day 1: Mild soreness. Paracetamol is usually enough. Most patients sleep normally. Day 2 to 3: You can do light work, walk normally. Namaz — including sitting — usually possible by day 3 to 5 with minor adjustment. Day 5 to 7: Most people feel fully normal.
There may be some spotting for a few days — this is normal. Stool softeners are given to ensure easy passage. Diet must be fiber-rich during recovery. See my diet guide for piles patients for specifics. And a detailed recovery guide is here: care after laser surgery.
🩺 Dr. Abdullah Iqbal Ki Rai
Mein Pakistan mein laser proctology introduce karne wala pehla surgeon hun. Lekin laser sirf ek tool hai — important cheez yeh hai ke ilaj aapki exact condition ke hisab se ho. Main aaj bhi kuch cases mein open surgery recommend karta hun jab zaroorat hoti hai. Mein kisi bhi patient ko laser suggest nahi karta agar yeh unke liye right option nahi. Pehle diagnose, phir decide.
Frequently Asked Questions
Q: Laser treatment mein dard hota hai kya?
Nahi. Local or spinal anesthesia diya jata hai pehle. Procedure ke doran kuch feel nahi hota. Baad mein 1 to 2 din mild soreness hoti hai — paracetamol se easily manage hoti hai.
Q: Laser treatment ka Karachi mein kya kharcha hai?
Karachi Piles Clinic mein PKR 100,000 to 150,000 depending on grade and extent. This includes procedure, anesthesia, recovery, and follow-ups. Consultation is PKR 1,500. No hospital stay cost, no daily dressings — overall quite cost-effective.
Q: Laser ke baad piles wapas aa sakte hain kya?
Agar diet aur lifestyle same rahi — haan, wapas aa sakte hain. Laser aaj ka masla hal karta hai. Kal ke liye aapko khana aur habits theek karni hogi. Read: can piles come back after surgery.
Q: Kya Grade 4 bawaseer mein laser ho sakta hai?
Grade 4 mein aksar laser alone kaafi nahi hota kyunki external component bhi hota hai. Combination ya open surgery usually needed hoti hai. Proper examination ke baad hi decide hota hai. See: all treatment options compared.
If you are considering laser treatment for piles in Karachi — or just want to know if you are a candidate — book a consultation at Karachi Piles Clinic. I will examine, grade your condition, and give you an honest recommendation.
Written by Dr. Abdullah Iqbal – MBBS, FCPS (Surgery). General Surgeon and Laser Proctologist. Karachi Piles Clinic, Karachi, Pakistan.
