Piles, also known as hemorrhoids, are a common medical condition caused by swollen and inflamed blood vessels in the rectum and anus. Piles are prevalent in adults, particularly those between ages 45 and 65. They are often caused by chronic constipation, obesity, pregnancy, straining during bowel movements, prolonged sitting or standing.
The global burden of piles is significant, impacting millions of individuals worldwide. It can cause chronic pain, bleeding, itching, irritation in the anal area, and affect performing daily activities, including sitting and walking. In addition, piles can have psychological effects like embarrassment, anxiety, and decreased self-confidence, leading to social and emotional distress. The economic burden of piles is also noteworthy, requiring medical consultations, diagnostic tests, and possibly surgical procedures and follow-up care.
Diagnosing piles is generally based on medical history, symptoms, and a digital rectal examination. Treatment options depend on the severity of the condition and overall health. In mild cases, self-care measures and lifestyle changes may suffice. For more severe cases, medical interventions may be necessary, including non-surgical treatments like rubber band ligation, injection sclerotherapy, and surgical treatments like conventional hemorrhoidectomy, MIPH, or LASER hemorrhoidopexy.
Laser surgery for piles, also known as laser hemorrhoidoplasty, has seen advancements in technology and techniques over the years. It involves using focused laser energy to coagulate and shrink the hemorrhoidal tissue, which reduces blood supply to the hemorrhoids, seals the blood vessels, minimizing bleeding during and after the procedure resulting in less post-operative pain, shorter hospital stays, and faster recovery times compared to traditional surgery. Additionally, it may be associated with fewer complications and a lower risk of recurrence.
Individuals should maintain a high-fibre diet, drink enough water and exercise regularly to prevent piles. It’s important to take prompt action if constipation occurs and not to strain during bowel movements. Consulting with a qualified healthcare professional will provide the most up-to-date and accurate information regarding laser surgery for piles.
To reduce the global disease burden of piles, awareness of the condition and accessible and effective treatment options is necessary. Encouraging healthy lifestyle practices and timely medical intervention and surgery when needed can alleviate symptoms, improve quality of life, and prevent complications.
