Piles Doctor in Thergaon — Laser Piles Treatment at Sharvari Hospital, Pimple Nilakh

Who is the piles specialist for Thergaon patients?

Dr. Kundan Kharde (MBBS · MS (General Surgery)) is the treating surgeon for piles at Sharvari Hospital, 5 km from Dange Chowk. With 19+ years in general and laparoscopic surgery and 6,000+ Surgeries, he examines and grades the piles himself at the first visit, then matches banding, laser, stapler or excision to that grade — and says so when no procedure is needed. Results vary between patients.

Which grades of piles need surgery?

Piles are graded by how far the internal cushion comes down. Grade 1 bleeds but does not prolapse — fibre, fluids, stool softeners and a review are the treatment, not an operation. Grade 2 prolapses on straining and goes back on its own — banding in OPD or laser if bleeding persists. Grade 3 has to be pushed back by hand — laser for selected cases, stapler where the prolapse is circumferential. Grade 4 stays outside — stapler haemorrhoidopexy or haemorrhoidectomy. This mirrors the ASCRS clinical practice guideline for haemorrhoids (2018), which reserves excisional surgery for grade 3–4 or mixed disease.

Two Thergaon patterns recur: the two-wheeler commuter riding the Aundh–Ravet road to a Hinjawadi desk, who arrives with grade 2 disease and is often treated in the OPD; and the older gaothan-side resident who has bought tubes from the chemist near Thergaon Phata for two years and now has grade 3 prolapse. For both: bleeding over about 45, or with weight loss or a change in bowel habit at any age, is examined before it is called piles.

What are the treatment options — banding, laser, stapler or surgery?

Conservative management: 25–30 g of fibre a day, two to three litres of water, a stool softener if needed, sitz baths, no reading on the toilet; reviewed at 4–6 weeks. Most grade 1 and much grade 2 disease settles here.

Rubber band ligation: A band cuts the blood supply to a grade 1–2 internal pile in the OPD. No anaesthesia, no admission; up to three sittings.

Laser haemorrhoidoplasty: A laser fibre shrinks the pile from inside under spinal or short general anaesthesia. No cutting, usually no stitches, same-day discharge. For grade 2 and selected grade 3 — not large external piles or skin tags.

Stapler haemorrhoidopexy (MIPH): Lifts and fixes circumferential grade 3–4 prolapse above the pain-sensitive line. Less wound pain than open surgery; NICE TA128 notes a higher chance of prolapse returning over the years than after haemorrhoidectomy, which is discussed before you choose.

Open or LigaSure haemorrhoidectomy: Removes large mixed piles and skin tags — the hardest recovery and the most durable result. See grade 4 piles treatment.

How do the piles procedures compare?

Every row assumes the grade has been confirmed on examination. Two patients from the same building in Thergaon can need different rows; the table is for orientation, not self-selection.

Timelines are typical ranges, not promises. Recovery depends on grade, number of columns treated, bowel habit and your job. Results vary between patients.

Why see a specialist rather than a general clinic in Chinchwad?

Grading needs a proctoscope: A general OPD can prescribe a cream; it cannot grade the piles or exclude a fissure or fistula. The grade decides everything that follows.

Grade first, procedure second: Nobody is booked for laser over the phone. Banding or conservative care is offered when that is what the grade calls for.

Day-care by design: Laser and most stapler cases are admitted in the morning and discharged the same evening.

24×7 admission: A thrombosed external pile is best seen in the first 48–72 hours; the emergency desk is staffed through the night.

For discharge or a persistent opening near the anus rather than bleeding, read about fistula treatment for Thergaon patients.

How far is Sharvari Hospital from Thergaon?

About 5 km — 12 to 18 minutes. Route: Dange Chowk → Kalewadi Phata (Aundh–Ravet BRT road) → Rahatani Phata → Vishal Nagar → Sharvari Hospital, behind Gulmohor Park, Pimple Nilakh, Pune 411027. From Thergaon Phata and the Pavana-side lanes, take the Kalewadi road to Dange Chowk first; from Pawar Nagar and Ganesh Nagar join the BRT road directly. Via Wakad Chowk is longer at the evening peak.

PMPML buses on the Aundh–Ravet corridor stop at Kalewadi Phata and Rahatani Phata; autos run the whole stretch; parking is at the gate. Call +91 951 951 1928 for the last turn.

What does recovery look like after laser piles surgery?

A typical course for a Thergaon patient after day-care laser haemorrhoidoplasty. Stapler and open surgery run longer; banding runs shorter.

Typical ranges, not promised timings. Call if you have fever, bleeding that fills the pan, or cannot pass urine. Results vary between patients.

Why patients from Thergaon choose Sharvari Hospital

Patients from Thergaon usually reach our hospital in about 12-18 minutes over a distance of 5.0 km. This helps with quick OPD access and easier follow-up after treatment.

Nearby route landmarks include Dange Chowk, Kalewadi Phata, Rahatani Phata, Vishal Nagar. Public transport options include PMPML buses along the Aundh-Ravet BRT corridor from Dange Chowk; Autos from Thergaon Phata and Pawar Nagar to Rahatani Phata; App cabs from the Pavana-side lanes to the hospital gate.

Patient from Thergaon

"I had assumed the only proper piles doctors were in Aundh or the city. Twelve minutes down the BRT road, examined by the surgeon himself, banded in the OPD and back on my bike within a week. I had wasted two years on tubes from the chemist."

What does laser piles surgery cost for Thergaon patients?

The estimate is itemised in writing before consent — surgeon and anaesthesia fees, consumables, room category and follow-up. It moves with grade, number of columns and technique, so it is given after examination, not over the phone.

Cashless treatment with 50+ insurers; pre-authorisation starts in OPD. Corporate group policies from Hinjawadi and Talawade employers usually cover day-care laser surgery. EMI is available for any co-pay.

Is laser piles surgery painless?

No — and we do not describe it that way. The laser procedure itself is done under spinal or short general anaesthesia, so it is not felt while it happens. Afterwards, soreness and a burning sensation for a few days are normal, and the first bowel movement is uncomfortable — managed with stool softeners, sitz baths and simple analgesia. Most patients find this milder and shorter than after open surgery. Results vary.