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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What are the surgical options for treatment of piles?

Answered by
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 12759 Questions

Posted on Fri, 27 Jul 2018 in Lump
Question: I am having piles. Almost 3 years back doctors said that it is at grade 3 and advised for surgery but we have not gone for that. Now the pain is very severe during motion with bleeding. Can you let us know the options for surgery and it would be even helpful if you can let us know the best and advanced technique available in XXXXXXX (Telangana State) or XXXXXXX (Karnataka State).
Answered by Dr. Bhagyesh V. Patel 18 minutes later
Brief Answer:
Need surgery. Either staple or laser technique is best .

Detailed Answer:
Hello dear

Warm welcome to
I have evaluated your query thoroughly .

* Hemorrhoids with severe pain and bleeding need to be operated , when not
relief with conservative measures .

* Best modalities available in XXXXXXX are staple surgery or laser surgery with expert
anorectal surgeon ( which is superior over the conventional open surgery ) .

Wishing you fine recovery .
Welcome for any further assistance .

Regards take care .

Above answer was peer-reviewed by : Dr. Raju A.T
Follow up: Dr. Bhagyesh V. Patel 21 minutes later
We heard about Cryo surgery is available in Banglore and XXXXXXX Can you please let us know in detail on this.We would like to know the complexity and any complications involved in this method.
Answered by Dr. Bhagyesh V. Patel 3 minutes later
Brief Answer:
follow up .

Detailed Answer:
Welcome .

Yes Cryo surgery is one of the modalities in certain parts of XXXXXXX .

* Procedure involves
- Cryo probe with nitrous oxide gas application at low temperatures around -98
degree C , applied over pile mass for few seconds .

* Recovery
- Patient is sent home in 3 - 4 hours .
- Can resume work in 2 days .
- Total healing in 2 - 3 weeks .

* Post operative
- Mild pain - can be managed with analgesics .
- Some mucus or blood in stool for some days can be there as a part of
disintegration of pile mass .

* It is giving good results in expert hands .

Regards .
Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

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