the Truth About Laser Treatment for Hemorrhoids

Q: the Truth About Laser Treatment for Hemorrhoids

Hello： There are many surgical methods for treating hemorrhoids, and laser surgery is one option. <br>However, from the patient's perspective, the cost of surgery increases, and the pain remains the same (it is not possible to be pain-free, unless only internal hemorrhoids are tr

Treatment of furuncles (boils)

Hello, doctor! I saw in your responses to other patients that you mentioned, "Surgery is usually the fundamental treatment method.
Laser surgery does not significantly reduce pain." However, I found information on a website stating that laser treatment does not require anesthesia, is completed instantly, allows patients to go home afterward and return to work the next day, is painless, enables normal living, and has no side effects.
In contrast, traditional treatment involves lumbar anesthesia, surgery plus anesthesia for about one hour, requires a hospital stay of 2-3 days, necessitates taking 1-2 weeks off work, involves severe pain, requires bed rest, and may cause anal stenosis or relaxation.
Is what they said true? Because I cannot take time off work, would choosing laser treatment be appropriate?

Xiao Shan, 20~29 year old female. Ask Date: 2004/03/03

Dr. Wang Qichao reply Surgery

Hello: There are many surgical methods for treating hemorrhoids, and laser surgery is one option.
However, from the patient's perspective, the cost of surgery increases, and the pain remains the same (it is not possible to be pain-free, unless only internal hemorrhoids are treated).
The wounds often have more discharge, and the healing time is not necessarily faster than that of traditional surgery.
Based on economic considerations (from the patient's standpoint), the degree of pain and the condition of wound healing, I personally believe that traditional surgical methods are more cost-effective.
Sincerely, Dr.
Wang Qichao, Department of Surgery, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/03/03

More Info

When it comes to the treatment of hemorrhoids, there are various methods available, including traditional surgical options and laser treatments. Each method has its own advantages and disadvantages, and the choice between them often depends on the specific circumstances of the patient, including the severity of the hemorrhoids, the patient's overall health, and personal preferences.

Understanding Laser Treatment for Hemorrhoids
Laser treatment for hemorrhoids is often marketed as a minimally invasive option that can be performed without general anesthesia, allowing for a quicker recovery time. The claims that laser treatment is painless, requires no hospitalization, and allows patients to return to normal activities the next day are appealing. However, it is essential to critically evaluate these claims based on medical evidence and expert opinions.

1. Effectiveness: Laser treatment can be effective for certain types of hemorrhoids, particularly for smaller, less severe cases. The laser works by coagulating the tissue, which can reduce bleeding and shrink the hemorrhoids. However, for more severe cases, traditional surgical methods, such as hemorrhoidectomy, may be necessary to achieve complete removal and prevent recurrence.

2. Pain and Recovery: While some patients report less pain with laser treatment compared to traditional surgery, this is not universally true. Pain tolerance varies among individuals, and some may still experience significant discomfort after laser procedures. Additionally, while laser treatments may allow for a quicker return to daily activities, some patients may still need time off work, especially if they experience complications or significant pain.

3. Risks and Complications: Every medical procedure carries risks. Laser treatment can lead to complications such as infection, bleeding, or recurrence of hemorrhoids. Traditional surgery also has its risks, including potential complications related to anesthesia and longer recovery times. However, traditional methods have a more established track record for treating severe cases effectively.

4. Long-term Outcomes: Studies have shown that traditional surgical methods tend to have better long-term outcomes for severe hemorrhoids compared to laser treatments. While laser treatments may be effective for immediate relief, they may not address the underlying issues as comprehensively as traditional surgery.

5. Personal Considerations: If you are unable to take time off work and are considering laser treatment, it is crucial to discuss this with your healthcare provider. They can help you weigh the pros and cons based on your specific situation. If your hemorrhoids are causing significant symptoms, it may be worth considering a more definitive treatment, even if it requires some time off for recovery.

In conclusion, while laser treatment for hemorrhoids offers certain advantages, particularly in terms of convenience and reduced recovery time, it may not be the best option for everyone, especially for more severe cases. It is essential to have a thorough discussion with your healthcare provider to determine the most appropriate treatment plan for your specific condition. They can provide guidance based on the latest medical evidence and your individual health needs.

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