Why Laser Surgery for Piles Fails Often: Ayurvedic Kshar Sutra as a Safer Alternative

Piles (hemorrhoids) are a frequent consequence of modern lifestyle factors such as chronic constipation, prolonged sitting, low-fiber diets and stress. Laser surgery is commonly promoted as a quick and painless fix, but many patients experience recurrence, pain or complications after the procedure.

This article explains why laser surgery for piles fails often and presents Ayurvedic Kshar Sutra as a safer, more durable alternative that treats diseased tissue while promoting natural healing and preventing recurrence.

Why Laser Surgery for Piles Often Fails

1. Laser Treats the Pile, Not the Cause

Laser ablation coagulates or shrinks swollen veins, but it does not correct the underlying causes such as chronic constipation, poor digestion or repeated straining. When the cause persists, piles commonly recur.

2. Limited Effectiveness in Advanced Cases

Laser is most effective for small, early-stage piles. In grade 3–4, prolapsed, recurrent or combined internal–external piles, laser often provides only short-term relief.

3. Muscle Support and Tissue Strength Are Not Restored

Internal hemorrhoids are associated with weakening of the anal cushions and supporting tissues. Laser does not rebuild or strengthen these structures; therefore, prolapse and recurrence may follow.

4. Heat-Related Complications

Laser uses thermal energy. Misapplied heat can cause internal burns, scarring, anal stricture or infection, all of which may worsen long-term outcomes.

5. Cost Versus Long-Term Benefit

Laser is often expensive. Patients may pay significantly yet require repeat procedures, making laser less cost-effective compared with therapies that address root causes.

What Is Kshar Sutra and How It Works

Kshar Sutra is an Ayurvedic para-surgical therapy that uses a specially medicated thread coated with herbal alkaline preparations (for example, Apamarga kshar, Snuhi latex and turmeric). The thread produces controlled chemical cauterisation, removes unhealthy tissue and promotes natural healing.

Unlike thermal cautery, Kshar Sutra achieves gradual excision and healing with minimal trauma and very low risk of stricture or deep tissue damage.

Benefits of Kshar Sutra Compared with Laser

• Lower recurrence due to removal of diseased tissue and corrected healing.
• Only local anaesthesia required; safe for elderly and medically-compromised patients.
• Minimal pain and faster, natural healing.
• Effective for early and advanced piles, fissure and fistula.
• Affordable and outpatient-based.

Laser vs Kshar Sutra — Quick Comparison

Who Should Prefer Kshar Sutra?

Kshar Sutra is a preferred option for patients with recurrent piles, prolapse, associated fissure or fistula, and for patients who want a conservative, low-risk, root-cause focused therapy. It is particularly suitable for elderly patients and those with comorbidities where general or spinal anaesthesia is risky.

Procedure & Recovery

Kshar Sutra is usually performed under local anaesthesia in an OPD setting. The medicated thread is placed and changed at intervals as advised by the treating practitioner. Most patients experience minimal discomfort and return to normal activities within a few days, with full healing over one to two weeks depending on the case.

Frequently Asked Questions