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Piles, fissure and fistula treatment in Mangalore
Medical Speciality

Proctology

Cryo, banding, laser and surgical treatment options for piles, fistula and fissure — delivered by our experienced General Surgery team.

Reviewed by the Mangala Hospital General Surgery team · Last updated August 2026
Overview

Proctology at Mangala Hospital

Piles (haemorrhoids), anal fissure, fistula and related anorectal conditions are extremely common, and for most people can be treated effectively without a long or painful recovery. At Mangala Hospital, proctology care is delivered through our experienced General Surgery team, providing a complete range of anorectal treatments from simple outpatient procedures to laser and open surgery when clinically appropriate.

Treatment is matched to the grade and type of the condition rather than defaulting to surgery. Early-stage piles are frequently managed with non-surgical options such as cryotherapy, rubber-band ligation or sclerotherapy (sealing), performed as a quick outpatient procedure. More advanced piles, fistula or fissure are treated with laser surgery or, where needed, conventional open surgery — all performed in our fully equipped operation theatre complex with experienced anaesthesia support.

Because this care sits within General Surgery, patients with a coexisting surgical condition — a hernia, gallstones, or a colorectal concern picked up during evaluation — can be assessed and treated by the same consultant without being referred elsewhere. Proctology procedures at Mangala Hospital are performed by General Surgery consultants including Dr. Sriram Bhat M and Chief Laparoscopic Surgeon Dr. Keshav Prasad Y.V.

Conditions We Treat

Haemorrhoids (Piles) Anal Fissure Anal Fistula Perianal Abscess Pilonidal Sinus Rectal Prolapse Anal Warts Chronic Constipation-Related Anorectal Problems

Need Urgent Care?

Sudden, severe anorectal pain or a thrombosed pile should be seen promptly. Our Casualty department is open 24x7.

Call: 0824 244 3088
Why Choose Mangala Hospital

Treatment Matched to Your Condition, Not the Other Way Round

Full Treatment Ladder

Cryo, banding, sclerotherapy, laser and open surgery are all available, so treatment fits the grade of your condition.

Minimally Invasive Options First

Early-stage piles are usually managed with quick, low-downtime outpatient procedures rather than surgery.

Experienced General Surgery Team

Delivered by consultants who perform hernia, gallbladder and anorectal surgery routinely, not as an occasional procedure.

Fully Equipped OT Complex

Laser and surgical procedures are performed in our modern operation theatres with dedicated anaesthesia support.

Same-Day or Short-Stay Procedures

Most non-surgical and laser procedures allow patients to go home the same day or after a short stay.

24x7 Emergency Access

Acute pain, bleeding or a thrombosed pile are managed round the clock through our Casualty department.

Treatment Options

From Office-Based Care to Surgery

Early-Stage Piles

Cryo, Banding & Sclerotherapy

For early-grade haemorrhoids, cryotherapy, rubber-band ligation and sclerotherapy are quick outpatient options that usually require no cuts or stitches. Treatment is selected after examination and is generally associated with minimal downtime.

Minimally Invasive Surgery

Laser Treatment for Piles & Fistula

For suitable piles and selected fistula cases, controlled laser energy supports precise treatment with limited tissue disruption. Patients may experience less post-operative discomfort, a shorter stay and an earlier return to routine activity than with conventional surgery.

Complex Anorectal Surgery

Open Surgery for Advanced Cases

Advanced or recurrent piles, complex fistula tracts and pilonidal sinus disease may require conventional surgery. These procedures are planned by the General Surgery team with anaesthesia, pain management and post-operative support.

Ceralas surgical laser system used at Mangala Hospital for selected minimally invasive proctology procedures
Proctology Treatment
Treatment matched to the conditionFrom outpatient care to surgeryOffice-based procedures, laser treatment and conventional surgery are selected according to the diagnosis and complexity of each case.
What to Expect

Your Care Journey, Step by Step

Consultation & Examination

A confidential clinical examination determines the grade and type of your condition.

Treatment Planning

Your surgeon recommends the least invasive option appropriate for your specific condition.

Procedure

Treatment is carried out as an outpatient procedure, laser surgery, or open surgery, as planned.

Recovery & Follow-Up

Guidance on diet, wound care and pain relief is provided, with a follow-up visit to confirm healing.

Patient Education

Frequently Asked Questions

Is piles treatment painful?+

Non-surgical options like cryo, banding and sclerotherapy involve only mild, brief discomfort. Laser and open surgery are performed under anaesthesia, so the procedure itself is not painful, though some post-operative discomfort is normal and managed with medication.

Do I always need surgery for piles?+

No. Many early-stage cases respond well to non-surgical treatment, dietary changes and medication. Surgery, including laser surgery, is reserved for more advanced or recurrent cases.

What is the difference between laser and open surgery?+

Laser surgery is generally less invasive, with less bleeding, less post-operative pain and a shorter recovery than open surgery. Your surgeon will recommend the approach best suited to your specific condition.

How long is the recovery after treatment?+

Office-based procedures usually need no downtime. Laser surgery typically allows a return to normal activity within a week or two, while open surgery may need a slightly longer recovery depending on the extent of the procedure.

Which doctor will I see for proctology care?+

Proctology conditions at Mangala Hospital are managed by our General Surgery consultants, who perform these procedures as part of their regular surgical practice rather than as a separate speciality.

Do you accept insurance for proctology procedures?+

Yes, we accept cashless and reimbursement claims from all major mediclaim providers and TPAs. See our Insurance page for the full list, or ask our billing desk to confirm your specific policy.

Book a consultation for proctology today.

Mangala Diagnostics
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