Piles, fissure, fistula and rectal prolapse treatment · Dr. Sushant Wadhera, MS, FNB (MAS)
Pain, bleeding or swelling around the anus is common, but many people put off seeing a doctor out of embarrassment. Most ano-rectal conditions are easy to treat when caught early, and many never need surgery. When surgery is needed, modern minimally invasive techniques mean less pain, a short hospital stay and a quick return to normal life.
At our clinic in Sarita Vihar, New Delhi, every consultation is private and unhurried. Dr. Sushant Wadhera examines you, explains your diagnosis clearly, and discusses every treatment option, including medicines and diet changes, before recommending surgery.
Swollen blood vessels in and around the anus. Symptoms include painless bleeding during bowel movements, a lump near the anus, itching or discomfort. Early-stage piles often settle with diet changes and medicines. Advanced piles may need laser, stapler or conventional surgery.
Read more about piles treatment →
A small tear in the lining of the anus, usually caused by hard stools or straining. It causes sharp, cutting pain during and after passing stool, sometimes with bright red blood. Most fresh fissures heal with stool softeners and ointments. Chronic fissures that don’t heal may need a minor procedure.
Read more about fissure treatment →
An abscess is a painful collection of pus near the anus and needs prompt drainage. A fistula is a small tunnel that can form afterwards, connecting the inside of the anal canal to the skin and causing repeated discharge. A fistula does not heal with medicines alone, so surgery is the definitive treatment.
Read more about fistula and abscess treatment →
The rectum slips out through the anus, often during straining. It is more common in older adults and women after childbirth. Surgical repair, including laparoscopic rectopexy, restores normal position and function.
Read more about rectal prolapse treatment →
See a surgeon if you have:
Rectal bleeding is not always piles. Conditions like polyps or colorectal cancer can cause similar symptoms, so a proper examination matters, especially if you are over 40, have a family history, or notice weight loss or dark stools.
The right treatment depends on your condition, its stage and your overall health.
Non-surgical treatment. Many early cases improve with high-fibre diet, enough water, stool softeners, warm sitz baths and prescribed ointments. This is always the first step when it’s likely to work.
Office procedures. Rubber band ligation for early piles can often be done in a short visit without admission.
Minimally invasive surgery. Techniques such as laser hemorrhoidoplasty, stapler hemorrhoidopexy, lateral internal sphincterotomy for chronic fissure, sphincter-saving fistula procedures and laparoscopic rectopexy for prolapse cause less pain and allow faster recovery than traditional open surgery.
Conventional surgery. For advanced or complex cases, time-tested open procedures give reliable long-term results.
Before surgery: examination, sometimes with proctoscopy, plus routine blood tests and a clear explanation of the procedure, the hospital and the costs.
On the day: most ano-rectal procedures are day-care or need only an overnight stay. Anaesthesia is chosen to keep you comfortable.
Recovery: most patients return to desk work within a few days to a week. You’ll get guidance on diet, pain relief, sitz baths and hygiene, and follow-up visits to make sure healing is on track.
Is piles surgery painful?
Modern techniques such as laser and stapler surgery may cause less discomfort than older methods. Pain after surgery is usually manageable with medicines, though no procedure can be guaranteed pain-free.
Can piles or fissure be cured without surgery?
Yes, in many cases. Early piles and fresh fissures often heal with diet changes, stool softeners and ointments. Surgery is considered when symptoms persist or keep coming back.
Does a fistula heal on its own?
No. A fistula does not heal with medicines alone. Surgery is needed to treat it and to prevent repeated infections.
How long is the hospital stay?
Most ano-rectal procedures are day-care or need a single overnight stay, depending on the procedure and your health.
When can I return to work?
Most patients resume desk work within a few days to a week. Heavier physical work may need a little longer.
Is laser surgery better than conventional surgery?
Laser works well for selected cases, particularly early to moderate piles, and usually means less pain and faster recovery. It isn’t suitable for every patient. Dr. Wadhera will recommend what’s best for your condition.
Is ano-rectal surgery covered by health insurance?
Most health insurance policies cover these procedures. Our team can help with documentation for cashless or reimbursement claims at partner hospitals.
What is the cost of piles or fistula surgery in Delhi?
Cost depends on the procedure, technique, hospital and room category. You’ll get a clear estimate during your consultation.
Don’t let embarrassment delay treatment. Early care is simpler, quicker and more comfortable.
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