Laser Haemorrhoidoplasty (LHP®)
Laser Haemorrhoidoplasty (LHP®) is a minimally invasive treatment that uses laser energy to shrink advanced haemorrhoids from the inside. This technique avoids cutting or removing tissue, which helps protect the sensitive muscles and lining of the anal canal.
The controlled emission of laser energy reaches the submucosa zone, causing the haemorrhoidal mass to shrink. Fibrotic reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue — preventing the recurrence of prolapse.
The procedure effectively reduces swelling and discomfort, allowing for a quick return to daily life without the need for stitches. The laser energy is introduced centrally into the haemorrhoidal cushion, treating the haemorrhoid according to its size without causing any damage to the anoderm or mucosa.
Key Benefits of LHP®
- No cutting or removal of tissue
- No stitches or sutures required
- Controlled haemorrhoidal shrinkage
- Daycare procedure — discharged within hours
- Significantly less post-operative pain than traditional surgery
- Rapid return to normal daily activities
- Anal sphincter well preserved
- No risk of faecal incontinence
Sinus Laser Ablation of Pilonidal Sinus (SiLaC®)
SiLaC® is a modern, minimally invasive treatment for pilonidal cysts that uses laser energy to seal the cyst tract. This approach avoids the need for large incisions, preserving healthy tissue while effectively closing the underlying cavity.
Contrary to conventional methods, the laser treats pilonidal sinuses in depth — it is a non-invasive, completely painless technique with a very therapeutic effect that contributes noticeably to the spectacular healing of pilonidal sinus disease. The laser removes the inflamed structures and the sinuses.
The removal of pilonidal sinuses with this laser surgical technique takes approximately 30 minutes in most cases. The procedure is performed under local anaesthesia on an outpatient basis — shortening recovery, reducing postoperative pain and wound care requirements, and providing excellent cosmetic results.
Key Benefits of SiLaC®
- Treats the cyst from the inside — no wide excision
- Avoids large open wounds of traditional surgery
- Performed under local anaesthesia
- Approximately 30 minutes procedure time
- Significantly less pain than traditional open surgery
- Much faster return to work and daily activities
- Minimal scarring
- High success rate for preventing recurrence
Fistula-tract Laser Closure (FiLaC®)
Fistula-tract Laser Closure (FiLaC®) is a minimally invasive, sphincter-preserving procedure that uses radial laser energy to seal an anal fistula. The affected tissue is destroyed and sealed using laser emission radially 360° in a controlled manner.
Laser energy is delivered into the anal fistula tract, inducing destruction of the fistula epithelium and simultaneous obliteration of the remaining fistula tract by a shrinkage effect. The epithelialised tissue is destroyed in a controlled way and the fistula tract collapses to a very high degree.
This approach treats the abnormal tunnel between the anal canal and the skin without cutting through the surrounding muscle. Any parts of the muscle are maximally preserved while incontinence is avoided. The FiLaC® procedure can be performed in just a few minutes as the laser action replaces the excision.
Key Benefits of FiLaC®
- Sphincter-preserving — no damage to surrounding muscle
- No risk of faecal incontinence
- Suitable for simple, complex, and recurrent fistulas
- Significantly less pain than traditional open surgery
- Faster return to daily routines
- Promotes natural healing
- Minimally invasive — can be performed in minutes
Laser Fissurectomy for Anal Fissures
Laser fissurectomy is a minimally invasive treatment for chronic anal fissures — small tears in the lining of the anal canal. This method uses a precise laser to remove damaged tissue and stimulate the body's natural healing process.
The laser fissure procedure is performed under local anaesthesia and does not require hospitalisation. By use of the laser, pathological tissue of the anal fissure is vaporised. Gentle irradiation of the fissure ulcer is combined with targeted heat application to the upper sphincter muscle fibres — without electrical stimulation via electrosurgery. This enables fissurectomy without tissue excision, avoids bleeding and protects the sphincter.
This procedure is designed to stop intense pain and bleeding while protecting the surrounding muscles. It represents the most modern technology available for treating a fissure.
Key Benefits
- No hospitalisation required
- Performed under local anaesthesia
- No risk of incontinence
- No tissue excision
- Avoids bleeding and need for haemostasis
- Faster recovery than traditional surgical options
- Less post-operative discomfort
- High efficiency rate
Laser Ablation for Anal Intraepithelial Neoplasia (AIN)
Laser ablation for Anal Intraepithelial Neoplasia (AIN) is a precise treatment used to destroy precancerous cells in the anal canal. By using a high-intensity laser, surgeons can target abnormal tissue while leaving the surrounding healthy skin completely intact.
HPV-associated lesions of the anus, vagina, or scrotum can be precisely ablated with controllable spot size and geometry using a bare fibre or the LOMA handpiece. This technique keeps tissue defects to a minimum and reduces the need for repeated procedures.
This outpatient procedure is effective at preventing abnormal cells from turning into more serious conditions. Patients can expect a brief treatment session with less pain and faster healing than traditional surgical removal.
Key Benefits
- Targets only abnormal cells — surrounding healthy tissue preserved
- Outpatient procedure
- Minimal tissue defects
- Reduces need for repeated procedures
- Less pain and faster healing than traditional surgery
- Effective prevention of progression to more serious conditions
Laser Ablation for Condylomata (Anal Warts)
Laser ablation is a specialised treatment for anal warts caused by the human papilloma virus (HPV). It uses a focused beam of light to vaporise and remove abnormal growths with high precision.
This method is highly effective for treating large or recurring clusters of warts that have not responded to topical creams. Using a bare fibre or the LOMA handpiece, lesions can be precisely ablated with controllable spot size and geometry — minimising the impact on surrounding healthy skin.
Dr Chamisa provides precise laser removal of genital and anal warts, allowing for targeted removal of both external and internal lesions with minimal impact on surrounding healthy tissue, ensuring better cosmetic results and faster healing.
Key Benefits
- Highly effective for large or recurring wart clusters
- Precise targeting of both external and internal lesions
- Minimal impact on surrounding healthy tissue
- Better cosmetic results
- Faster healing than traditional methods
- Suitable for warts unresponsive to topical treatments