Dr. Mohammed Hatem AlsubaihFirst identify the laser procedure
Laser hemorrhoidoplasty reduces hemorrhoidal tissue and differs from using a laser as a cutting instrument during excision. Ask which operation is proposed and how it addresses external tissue or fixed prolapse; a device name alone does not establish suitability.
What did five-year follow-up show?
A randomised study initially included 121 patients with grade II or III hemorrhoids; 102 completed long-term follow-up, 34 per group. Estimated symptom recurrence was 24% after excision, 29% after laser hemorrhoidoplasty and 44% after sutured mucopexy. The difference was not statistically significant (p=0.076), which does not prove equivalence. The single-centre sample and remote follow-up limit interpretation. The report appeared online on 21 July 2026 and in the October 2026 issue.
How should that affect my choice?
These results do not establish the best procedure for grade IV or substantial external disease. Compare your anatomy and symptoms with the patients studied. Early recovery and long-term symptom control are separate outcomes, and further treatment remains possible with either approach.
Which questions belong in the consultation?
Ask what happens to internal prolapse and external components, likely pain and work recovery, recurrence and complications, and the plan if symptoms remain. A personalised recommendation should explain both the expected benefit and the uncertainty.
Sources and preparation
References support general information; preparation examples and questions do not select an individual treatment plan.
AI-assisted editorial preparation. Independent clinical review of this wording has not been recorded; the update date is editorial, not medical approval.
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