Best Piles & Fistula Surgery, Treatment and Operation Cost in Bangalore

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PILES/HAEMORROIDS

Does Everyone Have Piles?

While most patients come with self diagnosis of suffering from piles/haemorrhoids, I reassure them it’s normal part of every human being and we are all born with them. Another myth is pain from piles. Piles are painless and cause bleeding, itching and some time jelly like secretions but they very rarely cause pain.

Do we need piles?

Yes. Contrary to belief Haemorrhoids (piles) are necessary for everyone. They have a role in continence (once ability to control/postpone defecation).

Does Piles cause cancer?

They will never cause cancer or turn into one.

How much blood is lost because of bleeding from piles?

Most people are concerned about the huge amount of blood they have lost but in most cases it’s very little (mls). It looks more as it is mixed with water and water has turned red. It is very rare for one to loose excess amount of blood because of bleeding from piles. This is very rare to cause anaemia (Low blood count) and if found one might need Colonoscopy to rule out other causes of bleeding.

Bleeding from the piles is bright red in colour and is never mixed with stool. It is usually self limiting lasting few days.

If Piles are normal what causes piles to enlarge?

Causes of enlarged piles/bleeding are associated with increased abdominal pressure. Some of them being
1. Constipation requiring people to put pressure to pass motion.
2. Chronic cough
3. Weight lifting
Other rare causes include soft tissue disorders.

How are piles classified?What are different stages of piles?

Depending on size they are classified into 4 categories. (see the picture)
1st Degree—mildly enlarged
2nd degree— big enough to meet opposite side inside anal canal
3rd degree — come out but go back in on their own/can be pushed back
4th degree— always outside and stay outside

What is the treatment of piles?

If piles are bleeding intermittently then treating aggravating factor which is constipation in most of the cases will solve the problem.

If persistent bleeding is the problem then haemorrhoids can be dealt with proctoscopy and rubber bands in the clinic for 1st and 2nd degree haemorrhoids.
3rd and 4th degree haemorrhoids need haemorroidectomy.

Treatment Options:

Open Haemorroidectomy: In this procedure haemorroids are cut either using scissors or diathermy (Current). Bigest disdvantage in this procedure is open wound and severe pain. One migt not be able sit comfortably for atleast 2 weeks.

Stapled haemorroidectomy is as good if not better to open haemorroidectomy for treating piles. It’s big advantage is considerably less pain compared to open haemorroidectomy. Pain is considerably less compared to open and is biggest advantage is that there is no wound.

Haemorroidal artery ligation & Mucopexy: In this procedure there is no cut (Wound) and haemorroids are treated by cutting off blood supply to them and part of haemorroid coming out is pulled inside with suture.

Laser Surgery is also available where LASER is used to treat haemorroids.

ANAL FISTULA

What is an anal fistula?

It is an abnormal connection between your anal canal (back passage) to the surrounding skin which can happen due to various reson explanied below.

Are there different kinds of fistula?

Fistula’s can be classified depending on the involvement of sphincter muscles and internal opening as shown in the picture.

What are the symptoms of Fistula?

Recurrent discharge of pus around the back passage which stops and starts . People end up taking antibiotic each time and with time fistula will become more complex and difficult to treat. If there is collection of pus then it cam present at abscess in which case abscess needs to be treated first then fistula at a later stage.

Is there LASER surgery for anal fistula?

Yes now there is laser which is safe and very effective.

What causes anal fistula?

Most fistulas are caused by simple hair follicle infection which was not treated completely/properly.
There are millions of hair follicles in one’s body. Any one of them around anal canal can get infected. Infection is more in people who sit for long time and more so who sit in unhygienic or hot/sweating environment (ex: long distance drivers). When the infection happens and there is pus collection if it is drained appropriately then chances of fistula formation decreases drastically.

If pus is not drained then body has to discharge the pus and there are only two directions. If it bursts out of skin and infection gets completely cured then fistula does not form. If it bursts into anal canal then fistula is formed or worst case it bursts into skin but residual infection spreads slowly in different directions then complex fistula is formed. There are certain conditions like Crohn’s which predisposes one to having fistula. These conditions are rare in India.

How is Fistula treated?

Only way to cure the fistula is by surgery. Most of fistula are simple and do not involve sphincter muscles so cutting it out fully will cure the fistula. If fistula involves sphincter muscles then cutting out fistula in one operation is not solution as it might cure fistula but it will one with incontinence. If sphincters are damaged one would loose control over the passing the stool and might have to run to toilet every time one gets sensation or there is prospect of passing on its own. So in these scenarios patient will need to have patience and might need two/three operations.

Get an overview about the popular pile-surgeries:

Piles can be now easily identified with rectal-bleeding. This really brings a great suffering if not being treated on time. If you have chosen Best Piles Surgery in Bangalore then you might get quick relief from unwanted sufferings especially due to larger piles. You might face sitting or standing issue if you have got piles.

Laser-surgery:

Now, piles can be treated easily and conveniently with laser-technology based surgery. It has been currently recognized as the most advanced and best piles surgery in Bangalore. This surgery involves easy correction of piles and thus the procedure does not involve much time.

This best piles surgery in Bangalore is almost non-invasive in nature and thus inflicts no pain at all rather the patients will receive the highest comfort during the course of the surgery. Wound-healing speed is faster in this case.Therefore it is very important to decide before surgery that whether the patient is eligible or not.If the specialist is efficient enough then only the laser-beam intensity can be controlled nicely.

Since long-time hospitalizations are not involved therefore you can make savings on hospital-charges at the end of the day. In case of this surgery, only piles are being targeted and thus surrounding tissues do not get adversely affected by laser-beams at all.

If you check out the survey-reports then you will surely come to know that this particular surgery is now speedily replacing other conventional options of best piles surgery in Bangalore. But not all candidates are suitable for laser pile-surgery.Minimum bleeding is involved and the best part is that anal blood-vessels are being sealed-off by laser-beans after the procedure is over.

Stapling:

Haemorrhoidectomy:

Pile pain and discomfort especially discharge, bleeding and itching can be now efficiently dealt by this best piles surgery in Bangalore. Smaller and external piles can be only easily treated by the same. Hemorrhoids are being eliminated directly from roots.Only overnight-stay is involved as the procedure gets completed within a single day. Stitches need to be made for sealing off incisions around sensitive-areas. This stitching might be a little painful at times. This best piles surgery in Bangalore can bring effective results only if it is being conducted during the initial pile-phases.

Stapling:

Anal-tissues slipping-down from anal-canal can be now efficiently treated with stapling procedure. This best piles surgery in Bangalore is quite a popular treatment for dealing with piles these days. Some of the major benefits that can be derived from this surgery are less pain, quick recovery, few complications and low itching and bleeding. In this case, hammerheads are being repositioned well by using staple-like device. This repositioning is necessary for unclogging blood-vessels around anal-canal.These are the three popular methods of best piles surgery in Bangalore but there are many more. Sclerotheraphy and rubber-band litigation are the two less-know processes by means of which piles can be treated well. You are free to make an independent search in order to find out the safest pile-surgery. This search will definitely enable you choosing the right option for piles-removal.

How fistula-surgery cost can be easily estimated?

Modern fistula-surgery is now getting advanced day by day as a result of which fistula-trouble can be easily eliminated from the root. If fistula surgery cost in Bangalore is making you bother then you need to find out the best means for getting the right rate.

Extreme pain and unwanted anal-infections can be now easily avoided by means of fistula-surgery. If any of your friends or relatives has recently gone through the concerned surgery then he will surely be able to tell you about Fistula Surgery Cost in Bangalore.

Factors to be considered:

Booking method: If you book all your appointments online then your booking-cost will get reduced to a great extent. This reduction affects your fistula surgery cost in Bangalore directly. In some cases, you might even receive concessions every time you book appointments with your concerned surgeon.
Cost-comparison: This is one of the most effective means that enable you getting the best fistula surgery cost in Bangalore. There are many people who before going through this surgery collect different surgical rates so that cost-comparison can be properly done without any kind of confusion. This comparison plays a great role in detecting the best surgical-cost that suits your budget the most.
Hospital-care services: Nowadays, fistula surgery cost in Bangalore can be well-decided on the basis of facilities you are actually in need of. Now, most hospitals offer hospital-services in the form of packages and thus you have to choose the most affordable package including those services that you are in need of. These are the most important factors that can help you to get an accurate estimation of fistula surgery cost in Bangalore. Make sure that the hospital is not charging any additional cost. In this respect, you should collect all necessary bills associated with the surgery.

Complicated case: If your fistula-condition is very much serious and complicated then you have to pay a little more than normal conditions. Therefore, you should get the surgery done at the initial-stage of fistula in order to enjoy a comparatively reduced fistula surgery cost in Bangalore.
Surgery method: This is a great factor that needs to be essentially considered for deciding the actual fistula surgery cost in Bangalore. If the method is advanced then the rate will be more and vice-versa. Therefore, keeping that in mind you should make selection of the best surgical-method that not only eliminates your fistula-trouble but also suits your budget well. Sometimes, the surgeon decides the surgery-method and thus the patients find no other way than agreeing to the same.
Hospital type: If you have chosen a reputed hospital for your fistula-surgery then you have to pay comparatively more. Therefore, you should choose only local ones in case you have got a limited budget. Therefore, you should make a detailed research online in order to find out the fistula surgery cost in Bangalore offered by fistula-surgery hospitals. If you are choosing any government hospital then you have to pay a lower charge while for private-hospitals your surgery-costs will surely get increased.