Dr. Naresh Kumar Sriramula is a senior General Surgeon at Mana Hospitals, Kukatpally, Hyderabad. He completed his MBBS and MS – General Surgery from Dr. NTR University of Health Sciences, Andhra Pradesh. With over two decades of surgical experience and nearly a decade specialising in laser procedures, he has helped thousands of patients achieve permanent relief from piles, fissures, fistulas, hernia, and varicose veins.
Laser Piles SurgeryAnal FissureFistulaHernia RepairVaricose VeinsGeneral Surgery
For Piles, Fissure & Fistula — see how advanced laser treatment compares to conventional open surgery.
🎯 Laser Surgery — Mana Hospitals
✂️ Traditional Surgery
Procedure Duration
25–30 minutes
60–90 minutes
Cuts & Stitches
✓ None
✗ Required
Pain Level
✓ Minimal
✗ Significant
Hospital Stay
✓ Same-day discharge
✗ 2–4 days
Recovery Time
✓ 24–48 hours
✗ 2–4 weeks
Risk of Infection
✓ Very Low
✗ Higher
Recurrence Rate
✓ Very Low
✗ Higher
Anaesthesia
✓ Local only
✗ General / Spinal
Insurance Covered
✓ Yes
✓ Yes
FAQs
Common questions about piles, fissure & fistula treatment at Mana Hospitals
Piles (haemorrhoids) are swollen veins in the lower rectum or anus. They can be internal (inside the rectum) or external (under the skin around the anus). They are very common — about 1 in 4 adults are affected at some point.
Common symptoms include bleeding during bowel movements (bright red blood), itching or irritation around the anal area, pain or discomfort, swelling around the anus, and a lump near the anus that may be sensitive or painful.
Untreated piles can lead to anaemia from chronic blood loss, strangulated haemorrhoids (very painful), blood clots (thrombosed haemorrhoids), and significant impact on quality of daily life.
You should see a doctor if you notice any rectal bleeding, if symptoms persist beyond a week, if you experience severe pain, or if over-the-counter treatments are not helping. Early diagnosis prevents progression to more serious grades.
Dr. Naresh will perform a visual examination and, if needed, a proctoscopy (a brief internal examination). The procedure is quick, comfortable, and completely confidential.
Common causes include chronic constipation or diarrhoea, straining during bowel movements, low-fibre diet, prolonged sitting, obesity, and pregnancy. A sedentary lifestyle significantly increases the risk.
Yes, piles affect both men and women equally. They are especially common during pregnancy and after childbirth. About 50% of people over the age of 50 have experienced some form of haemorrhoid symptoms.
Grade 1 piles may improve with dietary changes alone. However, Grade 2, 3, and 4 piles rarely resolve without treatment and tend to worsen over time. Laser treatment offers a quick, permanent solution regardless of grade.
An anal fissure is a small tear in the lining of the anus, causing sharp pain and bleeding during and after bowel movements. Laser treatment seals the tear precisely with minimal trauma, allowing fast healing and significantly less post-procedure pain compared to traditional surgery.
A fistula-in-ano is an abnormal tunnel between the anal canal and the skin near the anus, often causing discharge, pain, and recurrent infections. Laser treatment (FiLaC) closes the fistula tract from the inside without cutting the sphincter muscle, preserving continence and speeding up recovery.
The symptoms can overlap. Piles typically cause bleeding and a lump. Fissures cause severe pain after a bowel movement. Fistulas cause a persistent discharge or repeated boils near the anus. Dr. Naresh will examine you and give a clear diagnosis in one consultation — no guesswork.
Know the Right Diagnosis, Best Treatment & Clear Pricing — Make a Well-Informed Healthcare Decision
Free consultation with Dr. Naresh Kumar Sriramula. Completely private.