When Do Piles Need Surgery? Is Surgery Necessary?
Piles, also known as hemorrhoids, are a common medical condition affecting people of all ages. While most cases can be managed with conservative measures, there are situations when surgery becomes necessary to provide relief and prevent complications. Here, Dr. Sunny Agarwal, the best piles surgeon in Chembur, explains when piles need surgery, outlines the indications for operative treatment, and discusses various surgical options available at his advanced
Understanding Piles: Simple Overview
Piles or hemorrhoids are swollen veins in the rectum or anus.
- Internal piles are inside the rectum and usually painless, though they may bleed.
- External piles occur under the skin around the anus and can be painful, irritated, or thrombosed.
Typical symptoms include:
- Pain or discomfort during bowel movements
- Itching or irritation around the anus
- Swelling or lumps in the anal area
- Bleeding after passing stools
When Is Surgery for Piles Necessary?
Not every case of piles requires surgery. In most mild-to-moderate cases, lifestyle changes, dietary adjustments, medications, and non-surgical procedures are effective. However, surgery is recommended in the following circumstances:
1. Persistent or Severe Symptoms
- Severe pain, constant discomfort, or inability to sit
- Significant bleeding leading to anemia
- Large, prolapsed piles that consistently protrude from the anus and won’t retract
2. Failure of Conservative Treatments
Conservative measures—including high-fiber diet, increased water intake, stool softeners, topical creams, and sitz baths—fail to provide relief after several weeks.
3. Recurrent Piles
When piles repeatedly flare up even after medical or minimally invasive procedures, surgery may be advised for long-term treatment.
4. Complicated Piles
- Thrombosed external piles (clots within external hemorrhoids) causing severe pain
- Strangulated or necrotic piles (blood supply cut off)
- Associated anal fistula or fissures
5. Patient’s Preference
Some patients opt for surgery to achieve permanent relief, especially when piles interfere with daily activities or quality of life.
Is Piles Surgery Always Necessary?
No, not all piles require surgical intervention. The necessity for surgery is determined by:
- Severity and type (grade) of hemorrhoids
- Response to earlier treatments
- Presence of complications or associated conditions
Early-stage piles often resolve with conservative care and lifestyle modifications. Regular follow-ups with a piles specialist doctor in Chembur like Dr. Sunny Agarwal help monitor progress and ensure timely escalation of treatment if required.
Types of Piles Surgery
At 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
Laser technique uses a focused beam to shrink or remove hemorrhoidal tissue, resulting in:
- Minimal bleeding
- Less pain
- Faster recovery
Dr. Agarwal is renowned as the Laser Piles Surgeon in Chembur with expertise in this modern, minimally invasive procedure.
2. Stapler Hemorrhoidectomy
This procedure uses a stapling device to remove and reposition hemorrhoidal tissue, particularly for prolapsed piles. It provides better comfort and quicker healing compared to traditional surgery.
3. Conventional Hemorrhoidectomy
Traditional surgical removal of piles is reserved for the most severe cases. This method is effective for large or complex hemorrhoids but requires a longer recovery period.
4. Rubber Band Ligation
In select cases, a tight band is applied to the base of internal hemorrhoids to cut off blood supply, causing them to wither and fall off.
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
- Minimal pain managed with simple analgesics
- Early return to routine activities—in 2-3 days for laser, 1-2 weeks for conventional
- Diet modifications with high fiber intake
- Wound care and personal hygiene instructions
Recovery After Piles Surgery
Risks and Complications of Piles Surgery
Although surgery is generally safe under the care of an expert, there are potential risks, such as:
- Bleeding or infection
- Anal strictures (narrowing)
- Incontinence (rare)
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 Consult Dr. Sunny Agarwal?
Expertise: Widely regarded as a piles specialist doctor in Chembur, Dr. Agarwal has extensive experience in treating all grades of hemorrhoids.
- Advanced Facilities: Modern equipment, laser surgery, and compassionate care under one roof
- Personalized Care: Every treatment plan is customized based on patient needs and comfort
- Piles surgery is needed when symptoms are severe, recurring, or unresponsive to other treatments.
- Surgery is NOT always necessary—milder cases often improve with non-surgical care.
- Advanced options like laser piles surgery ensure quicker recovery and less pain.
- Timely consultation with an expert piles doctor leads to best results and peace of mind.
If you are struggling with piles and need honest Piles Treatment in Chembur.advice, contact Dr. Sunny Agarwal at the leading Get the right diagnosis, advanced treatment, and genuine care to help you return to comfort—safely and quickly.