Brief Answer:
Laser surgery is a good option.Frequent urinating is not due to hemorrhoids

Detailed Answer:
Hello!

Thank you for the query.

Yes, laser surgery is successful for both hemorrhoids and anal fissure. Yes it is a good option.
Classic hemorrhoids surgery is an easy (for the surgeon) procedure where you simply cut out hemorrhoid and put a stitches to close the wound. The main problem with such surgery is pain after it. Anal area is very sensitive and can give much pain.

Laser gives us the opportunity to precisely remove affected tissues, close blood vessels (no bleeding). Laser does not burn surrounding tissues. In result it does not affect healthy tissues. This gives much less pain after a surgery and quick healing process.
So if you have such option, you should use it.

Frequent urinating can not be caused by hemorrhoids for sure. Usually frequent urinating is a symptom of urinary tract infection or diabetes (or both). You may have also burning while urinating and lower abdominal pain. I suggest you to have urine analysis done at first along with glucose level checked.

Hope this will help. Feel free to ask further questions.
Regards.

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Brief Answer:
Botox is a good option, hemorrhoid treatment depends on the grade.

Detailed Answer:
Yes, botox injection is a good way to treat anal fissure. It relaxes rectal muscle so the pressure during the stool excretion is much lower and the rectal wall is not wounded by stool. However it may be ineffective in case of long lasting anal fissure (which is present for about a year).

Hemorrhoid artery ligation and hemorrhoidopexy is a good option. However it is effective only in case of grade I and II hemorrhoids. In grade III and IV (when the hemorrhoids are visible outside) laser treatment is much more effective (it give 98% successful results).

Regards.

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