Laser Hemorrhoidoplasty as a Surgical Alternative

This technical report evaluates laser hemorrhoidoplasty (LHP) as a modern alternative to conventional surgical techniques for treating symptomatic hemorrhoids, particularly grades II and III. The review synthesizes findings from comparative studies, randomized controlled trials, and meta-analyses published between 2020 and 2025, focusing on key outcomes such as postoperative pain, recovery time, operative duration, complication rates, and recurrence. The analysis indicates that LHP is associated with significantly lower postoperative pain scores and reduced analgesic requirements, allowing for a faster return to daily activities compared to traditional excisional methods. Despite these advantages, the report highlights concerns regarding higher recurrence rates in some studies, particularly for grade III hemorrhoids, emphasizing the need for careful patient selection and long-term follow-up. The report also discusses the procedural technique of LHP, which utilizes diode lasers to induce coagulation and fibrosis of hemorrhoidal tissue while preserving anoderm integrity, thus minimizing postoperative complications. Overall, LHP presents a viable minimally invasive option for appropriately selected patients.