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“It is estimated that one‑third of India’s population will experience piles at some point in their life.” Yet many still believe haemorrhoids always require surgery. But medical evidence, and daily clinical experience across India, show something very different. Nearly 80% of cases, including Grade 2 and early haemorrhoids, and even anal fissures, improve with simple, […]

If you have an anal fissure and your surgeon has advised Lateral Internal Sphincterotomy (LIS), there’s a high chance one fear is holding you back: “Doctor, will I lose control of my motions after LIS?” Let’s address this clearly, honestly, and scientifically. Without scaring you and without sugar‑coating. What exactly is LIS? Lateral Internal Sphincterotomy

Post‑Surgery FAQ: Your First 72 Hours After Piles Surgery Welcome to our Post‑Surgery Care FAQ, designed to answer the most common questions patients have in the first 72 hours after piles surgery, by Dr. Kaushik Vora, MS, at his Proctology Practice in Guwahati. Our goal is to keep things simple, friendly, and stress‑free, so you

As a practicing proctologist, I frequently counsel patients and colleagues alike on the full spectrum of management for pilonidal sinus disease, a condition that can range from a minor nuisance to a recurrent surgical challenge. In this article, I review all viable treatment options, from conservative care to surgical techniques, focusing on evidence, outcomes, and

Chivate’s transrectal suture haemorrhoidopexy offers a safer, simpler, and more cost-effective alternative to stapled surgery for piles. Chivate’s transrectal suture haemorrhoidopexy is gaining recognition as a minimally invasive, tissue-preserving technique for managing advanced hemorrhoids/Piles. Compared to stapled haemorrhoidopexy, this method offers several clinical and practical advantages that make it especially appealing in both urban and

What do you mean by Complicated Fistula? A complicated (or complex) fistula in ano refers to a type of anal fistula that presents significant challenges in both its management and potential outcomes. Unlike simple fistulas, which involve minimal muscle tissue and usually have a single tract, complicated fistulas engage more complex anatomy and often require

Hemorrhoids are a common but often overlooked problem during pregnancy. Studies suggest that 15% to 41% of pregnant women develop hemorrhoids, especially in the third trimester. As a proctologist, I see this frequently in my practice. The good news is—most cases are preventable, especially with the right dietary habits. Let me explain what causes them

Many women experience hemorrhoids during pregnancy. They’re uncomfortable, sometimes painful, and often difficult to talk about. But they’re also very common. Studies show that up to 85% of pregnant women may develop hemorrhoids during their third trimester. This happens due to increased pressure in the pelvic area, hormonal changes, and constipation. As a proctologist, I

Anal fistulas are a challenging condition that can significantly impact a patient’s quality of life. Traditional surgical approaches often involve extensive tissue dissection, leading to postoperative pain and a risk of incontinence. However, Video-Assisted Anal Fistula Treatment (VAAFT) has emerged as a revolutionary technique, offering a minimally invasive alternative for managing complex fistulas. Understanding VAAFT

Pregnancy is a remarkable journey of transformation, bringing about significant physiological changes within a woman’s body. While this period is filled with anticipation and joy, it can also present certain physical discomforts. One common, yet often unspoken, issue I frequently encounter in my practice as a proctologist is the development of hemorrhoids. These swollen veins