Surgical Care for Piles, Fissures and Fistulae
Piles, fissures, fistulae and rectal prolapse are assessed in a confidential clinical consultation. Conventional, laser and laparoscopic procedures are compared after examination, with attention to pain control, continence and recovery.
Conditions Commonly Treated
Piles (haemorrhoids), painful anal fissures, fistulae, rectal prolapse and pelvic-floor problems can cause bleeding, pain, discharge or difficulty emptying the bowel. Dr Prasad Bhukebag begins with a discreet, careful examination, confirms the diagnosis and then compares the procedures that fit the anatomy. Continence and long-term healing guide the plan.
Author on Benign Coloproctology and Obstructed Defaecation:
Dr Bhukebag has contributed forthcoming chapters on "Rectal Prolapse & Laparoscopic Management" and "Constipation & Obstructed Defaecation Syndrome" for the IAGES Recent Advances in Minimal Access Surgery (Jaypee Brothers, 2027).
Procedures Offered
Dr Prasad Bhukebag compares established operations with selected laser procedures after assessing the condition, anatomy and continence risk:
Piles: Laser Haemorrhoidoplasty (LHP)
Laser haemorrhoidoplasty can be considered for selected internal haemorrhoids after examination and comparison with banding, excisional haemorrhoidectomy and other methods. Evidence and the possibility of recurrence should be discussed.
- Minimally invasive option after clinical assessment
- Treats selected internal haemorrhoids without excision
- Day-care discharge depends on the procedure and your progress after treatment
Anal Fistula: Laser Closure (FiLaC)
A laser fibre can be used for selected fistula tracts. Long-term healing and recurrence are less certain than for established options, so anatomy, continence risk and the available evidence should be reviewed after examination and imaging.
- Aims to preserve sphincter function
- Long-term healing and recurrence require follow-up
- Follow-up to monitor healing
Persistent Anal Fissure: Botulinum Toxin or Surgery
When a fissure remains painful after stool-softening and prescription ointment, botulinum toxin or surgery may be considered after assessing the sphincter and continence risk.
- Aims to improve pain and healing
- Supports healing with follow-up
- Day-care treatment depends on the procedure and your progress after treatment
Rectal Prolapse: Ventral Mesh Rectopexy (LVMR)
Ventral mesh rectopexy may suit selected full-thickness prolapse after bowel and pelvic-floor assessment.
- Laparoscopic approach where indicated
- May improve prolapse-related symptoms
- Follow-up planned around your needs
Discuss the Right Treatment for Your Symptoms
Book a consultation to review your symptoms and examination findings. If a procedure has been advised, bring the reports for a second opinion; the safest conventional, laser or laparoscopic option depends on the diagnosis.