Laser Hemorrhoidoplasty (LHP®)

A minimally invasive treatment for hemorrhoids

About 50% of the population experience chronic hemorrhoids and over 80% of the population have issues with their hemorrhoids at least once during their lifetime. Intermittent hemorrhoid flare-ups can be a nuisance but when they begin to affect the quality of life, it is time to seek treatment.

Hemorrhoid treatment without surgery

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Many individuals suffer from hemorrhoids because they wish to avoid surgery. LHP® is a minimally invasive laser therapy that is specifically designed to target and shrink hemorrhoids offering patients the perfect solution!

What are the benefits of LHP®?

LHP® effectively treats hemorrhoids without traditional surgical risks or the prolonged recovery associated with surgical hemorrhoid treatment. The benefits of LHP® include:

  • No tissue is cut or removed from the anus (I-III stage, stage IV may require outer skin excision with laser)
  • Operative time is much shorter than surgical hemorrhoid treatment
  • The laser treatment cuts off the blood supply so hemorrhoids can no longer protrude out of the anus
  • Strategically targeted to prevent damage to anoderm, sphincter, or mucous membranes
  • Quick recovery and able to return to normal routine in only a few days (compared to long period after alternative treatments)

Who is a candidate for LHP®?

You may be a candidate for Laser HemorrhoidoPlasty LHP® if you:

  • Experience chronic hemorrhoids and other treatments have been unsuccessful
  • Are experiencing both internal and external hemorrhoids
  • Have bleeding or pain
  • Experience prolapsed hemorrhoids (protruding from the anus)
  • Are experiencing a hemorrhoid with a blood clot
  • Have a strangulated hemorrhoid (hemorrhoid that is trapped cutting off its blood supply)

How does LHP®work to treat hemorrhoids?

During LHP® general anesthesia is used to keep the patient comfortable and a thin laser probe is inserted into the anus to treat the hemorrhoids. The probe is used to shrink the hemorrhoids from the inside out. A laser fiber is strategically placed in the middle of each hemorrhoid and the laser radiation is activated which causes them to slowly revert to their normal size. This also cuts off the blood supply to the engorged hemorrhoids and within a few days of LHP®, bleeding from hemorrhoids should decrease significantly.

How long does LHP® last?

LHP procedure usually takes 30-60 min. The laser treatment itself takes 15-20 minutes. It’s an outpatient procedure, which means you can go home the same day.

Is LHP procedure painful?

You’ll receive general anesthesia for laser hemorrhoid removal, so you won’t feel any pain.

After your procedure, you might experience some soreness, tingling or bruising near the nodules that was treated. Usually, you can manage any pain with over-the-counter medications. Your surgeon will explain which pain relief medications are safe for you to use.

What happens during LHP?

Before your procedure, anesthesiologist will give you general anesthesia to keep you from feeling pain or any over discomfort. You will be asleep during the whole procedure.

During LHP, your surgeon will:

  • Insert a mirror
  • Make a small puncture below the distal point of hemorrhoid nodule
  • Insert a laser  into the incision and guide it to the proximal part of the nodule
  • Draw out laser applying energy according to hemorrhoid stage and size
  • Apply ice to reduce heat damage
  • Inject local anasthesia for perianal block. (reduces immediate post operative pain)
  • Insert absorbable hemostatic Gelatin Sponge

What to expect after LHP? 

After removing the hemorrhoids, the patient will be shifted to a recovery room. The patient would be kept under observation until the anesthesia wears off.

Once the effects of the anesthesia wear off, the patient may experience slight discomfort and pain sensation that is likely to be, very minimal. The surgical site would be tender .

You will be allowed to go home same day.

Your surgeon will prescribe analgetic plan in case of pain. Usually you would not require too much for pain management.

Bowel movements may take some time to get normal. While passing the stool, you may also experience a slight burning sensation in the anal area. Talk to your surgeon and discuss if you may need stool softeners.

With laser piles treatment, a patient can resume regular work-life with just two or three days of rest, provided he or she does not have an underlying health condition that does not alter the post-surgical outcomes.

In post operative period your doctor would like to see you in 7 days and 6 weeks after surgery.

Recovery tips after LHP?

There may be drops of blood along with your stool or on the wipe tissue paper. Don’t panic! That’s normal.

Keep your anal area dry and clean. Each time you pass a bowel movement, either take a shower or a sitz bath. You may also use baby wipes to clean the bottom. Be gentle while doing so.

You may experience discharge containing mucous for a few after the surgery. It may wet your undergarments. So, to prevent this, you may wear a sanitary napkin.

Ease your physical activities for a few days until you feel completely fine. Avoid lifting or pulling weights or indulging in strenuous physical activities for at least two weeks. Don’t go sedentary; keep moving and walking; just don’t exert too much pressure on the body.

Eat a fiber-rich diet and drink enough water.  

Keep a check on what you eat. Cut down on junks, spicy and oily foods for a few days. Consuming any of these may alter the bowel movements, make you constipated, which can worsen your condition, or may cause diarrhea which can cause complications.

When should I call my doctor after LHP?

Go to the emergency or contact your doctor if you experience any signs of:

  • Bleeding which doesn’t stops
  • Fever
  • Fast heart rate
  • Feeling like something is pulling on your calf
  • Lightheadedness or fainting
  • Pain or tenderness that gets worse instead of better
  • Swelling
  • Trouble breathing


App. 1600 euro.

A note from Estmedica Clinic

If you have hemorrhoids, you don’t have to live with them. LHP is good way to get rid of them without surgery. This procedure can decrease the risk of complications from hemorrhoids, and can give you a better life quality.

Together, we can select the treatment that works best for you.

Book an appointment with a surgeon:

Aleksandr Detotšenko Eduard Rumjantsev *

Reception telephone 601 0194
Contact us by e-mail
Location Narva mnt. 31, Tallinn
Working hours E-R 09:00-17:00

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