Laser Treatment: Benefits, Limits and Evidence
Laser is a tool, not a promise. It can reduce cutting and open wounds in selected procedures. This may mean less early pain and a quicker return to routine. It can also fail, symptoms can return, and another procedure may be needed.
Laser Treatment
Laser is a tool, not a promise. It can reduce cutting and open wounds in selected procedures. This may mean less early pain and a quicker return to routine. It can also fail, symptoms can return, and another procedure may be needed.
Treatment
What Looks Promising
What Remains Uncertain
LHP for Piles
A 2022 review of 12 studies and 1,756 patients found shorter operations and hospital stays, lower day-one pain and some fewer complications than Milligan-Morgan surgery. Recurrence was not significantly different in that review.
Evidence was mixed across study types. A 2026 review versus LigaSure found faster recovery with LHP but lower recurrence with LigaSure and judged certainty very low.
FiLaC for Anal Fistula
A 2020 review of 454 patients reported primary healing around 67% and mainly minor complications. The procedure is designed to spare the sphincter.
Healing rates vary. Later comparative evidence shows meaningful failure rates, so repeat or alternative treatment may be needed.
SiLaC for Pilonidal Sinus
A 2026 review estimated cure around 86% and recurrence around 11%, with small wounds and short procedures in many studies.
Most evidence was from separate single-arm studies with high variation. Direct trials are limited.
The Best Treatment Is Personal
Mr Cundall will explain how strong the evidence is for your condition, what the alternatives are, and what matters most for pain, healing, bowel control and the chance of another procedure.