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When Do Piles Need Surgery? Is Surgery Necessary?

  • Writer: Sunny Aggrawal
    Sunny Aggrawal
  • May 13
  • 3 min read

Piles, or hemorrhoids, are a common condition that can affect people of all ages. While many cases can be managed with non-surgical treatments, certain situations require surgical intervention to provide lasting relief and prevent complications.

Dr. Sunny Agarwal, a best piles surgeon in Chembur, explains when surgery becomes necessary, the key indications for operative treatment, and the advanced surgical options offered at his specialized clinic.

Understanding Piles: A Simple Overview

Piles are swollen veins in the rectum or anus and are categorized into two main types:

  • Internal piles: Located inside the rectum; usually painless but may cause bleeding.

  • External piles: Develop under the skin around the anus; can be painful, irritated, or thrombosed (clotted).

Common symptoms include:

  • Pain or discomfort during bowel movements

  • Itching or irritation near the anus

  • Swelling or lumps around the anal area

  • Bleeding after passing stools

When Does Piles Surgery Become Necessary?

Not all piles require surgery. In most mild to moderate cases, lifestyle modifications, dietary changes, and medications are effective. However, surgery is recommended in the following situations:

1. Persistent or Severe Symptoms

  • Severe or constant pain

  • Difficulty sitting due to discomfort

  • Heavy bleeding leading to anemia

  • Large prolapsed hemorrhoids that do not retract

2. Lack of Response to Conservative Treatment

  • When high-fiber diet, hydration, stool softeners, ointments, and sitz baths fail to provide relief after a few weeks

3. Recurring Piles

  • Frequent flare-ups despite previous non-surgical or minimally invasive treatments

4. Complicated Cases

  • Thrombosed external piles causing intense pain

  • Strangulated or necrotic hemorrhoids

  • Associated conditions like anal fissures or fistulas

5. Patient Preference

  • Some individuals prefer surgery for permanent relief, especially when piles impact daily life and overall comfort

Is Surgery Always Required for Piles?

No, surgery is not always necessary. The decision depends on:

  • The type and grade of hemorrhoids

  • How well previous treatments have worked

  • Presence of complications or co-existing conditions

Early-stage piles often respond well to conservative management. Regular follow-ups with piles specialist doctor in Chembur, like Dr. Sunny Agarwal, ensure timely intervention when needed.

Advanced Surgical Options at Dr. Agarwal’s Clinic in Chembur

Dr. Agarwal’s Piles Treatment in Chembur clinic, several advanced surgical techniques are provided, based on the patient’s individual needs and severity of piles:

1. Laser Piles Surgery

A minimally invasive procedure that uses focused laser energy to shrink or remove hemorrhoids.

Benefits:

  • Minimal bleeding

  • Less post-operative pain

  • Faster recovery time

Dr. Agarwal is recognized as a top Laser Piles Surgeon in Chembur, with expertise in this safe and effective method.

2. Stapler Hemorrhoidectomy

This technique uses a stapling device to remove and reposition hemorrhoidal tissue, especially in prolapsed piles. It ensures:

  • Better comfort

  • Quicker healing than traditional methods

3. Conventional Hemorrhoidectomy

Ideal for large or complex hemorrhoids, this method involves surgically removing the affected tissue. It is highly effective but may require a longer recovery period.

4. Rubber Band Ligation

Used for internal piles, this procedure involves placing a small rubber band at the base of the hemorrhoid to cut off blood supply, causing it to fall off naturally.

Recovery After Piles Surgery

Most piles surgeries today, especially Laser Piles Surgery in Chembur are day-care procedures, allowing same-day return. Recovery is usually smooth when guided by the best piles doctor in Chembur

Recovery Highlights:

  • Minimal pain managed with mild painkillers

  • Quick return to daily activities (2–3 days for laser surgery; 1–2 weeks for conventional surgery)

  • Diet modifications with high-fiber intake

  • Clear instructions for hygiene and wound care

Potential Risks and Complications

Although piles surgery is generally safe, potential risks include:

  • Bleeding or infection

  • Anal stricture (narrowing of the anal canal)

  • In rare cases, incontinence

Dr. Sunny Agarwal employs state-of-the-art techniques and stringent safety protocols to minimize complications and ensure optimal outcomes at his Piles Clinic in Chembur

Why Choose Dr. Sunny Agarwal for Piles Treatment in Chembur?

  • Expertise: Highly experienced in managing all grades of hemorrhoids with both surgical and non-surgical methods

  • Modern Facilities: Equipped with the latest technology, including laser systems, for effective treatment

  • Personalized Care: Customized treatment plans designed to meet each patient’s unique needs

  • Trusted Reputation: Known for delivering safe, reliable, and compassionate care

Get Relief from Piles — Safely and Effectively

Surgery is advised when piles are severe, recurrent, or unresponsive to other treatments. With advanced solutions like laser piles surgery, recovery is quicker and less painful.

If you’re suffering from piles and seeking honest, expert advice, consult Dr. Sunny Agarwal — the trusted name for piles treatment in Chembur. Get accurate diagnosis, advanced care, and lasting relief — so you can return to a comfortable, pain-free life.


 
 
 

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