- male
- 40 Years
- 14/08/2025
I've been dealing with piles for a while now and my doctor recommended surgery but I'm really nervous about it - is surgery the only option or are there other treatments I could try first
Answered by 1 Apollo Doctors
For advanced cases (Grade III and IV) or when non-surgical methods fail, surgical intervention may be the best option. Common surgical procedures include: Hemorrhoidectomy: This involves the complete removal of hemorrhoids and is highly effective for severe cases.
Dr. Kamran Suggests...
Consult a Colorectal Surgeon
Answered 14/08/2025
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View allI've had piles without bleeding for 5 years but developed a fistula problem in the last three months. There's also a lump formed with my piles now. The fistula keeps leaking pus - can this heal without surgery?
Anal fistulas, once they develop, generally require surgical intervention for a definitive cure, according to the NHS. While in rare cases, fistulas might close up on their own, they often recur if left untreated, leading to infections and abscesses. Your situation, with a newly developed fistula and pus discharge, strongly suggests a need for surgical treatment, as fistulas rarely heal spontaneously
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consult urologist
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.





