Dr. Kundan Kharde — Pune's Trusted Fistula & Piles Surgeon

Question 1

What is laser piles surgery?

Answer

Laser piles surgery is a minimally invasive procedure that uses focused laser energy to precisely vaporize hemorrhoidal tissue and seal blood vessels simultaneously. It results in minimal bleeding, less pain than traditional surgery, and same-day discharge with most patients returning to normal activity within 2–3 days.

Question 2

Is laser piles surgery safe?

Answer

Yes. Laser piles surgery is very safe with a 95–98% success rate. Dr. Kundan Kharde uses advanced laser technology with over 5000 successful procedures performed. Serious complications are rare — occurring in less than 1% of cases.

Question 3

How much does laser piles surgery cost?

Answer

Laser piles surgery typically costs approximately ₹60,000–₹1,25,000 depending on the grade and nature of disease. The cost includes the consultation, procedure, medications, and post-operative follow-up. No hidden charges.

Question 4

What is the recovery time after laser piles surgery?

Answer

Most patients return to light desk work within 2–3 days. Complete recovery takes 5–7 days. Heavy physical work may require 1–2 weeks. This is significantly faster than traditional open surgery which requires 3–4 weeks of recovery.

Question 5

Do I need to be admitted for laser piles surgery?

Answer

No. Laser piles surgery is usually a day-care procedure. You arrive in the morning, the surgery takes 15–30 minutes, you are observed for 2–4 hours in recovery, and you are discharged the same afternoon with post-operative instructions and medications.

Question 6

What are the grades of piles and which grades need surgery?

Answer

Piles are classified into 4 grades. Grade 1: small internal swellings — treated with medication and dietary changes. Grade 2: prolapse during straining but return on their own — treated with rubber band ligation or laser. Grade 3: prolapse and need manual pushing back — laser surgery recommended. Grade 4: permanently prolapsed — laser or stapler surgery required. Dr. Kundan Kharde will assess your grade via proctoscopy before recommending treatment.

Question 7

Is laser piles treatment covered by insurance?

Answer

Yes. Laser piles surgery is covered under most health insurance policies in India as it is classified as a surgical procedure (ICD-10: K64). Dr. Kharde's team assists with insurance pre-authorization, documentation, and cashless claims where applicable. EMI payment options may be available for patients without insurance.

Question 8

What is the difference between laser piles surgery and traditional surgery?

Answer

Dr. Kharde will explain whether laser or another method fits your grade and lifestyle after examination. Broadly, laser approaches aim for less tissue disruption and quicker return to desk work for suitable cases; open techniques remain important when anatomy demands it. Detailed technique comparisons and timelines are outlined on the hospital procedure pages linked from your consultation materials.

Question 9

Can piles be treated without surgery?

Answer

Yes. Grade 1 and early Grade 2 piles can be managed without surgery using dietary changes (high-fibre diet, increased hydration), topical creams, oral medications (venotonic agents), and lifestyle modifications such as avoiding prolonged sitting. If conservative treatment fails after 4–6 weeks, minimally invasive procedures like rubber band ligation or laser treatment are advised.

Question 10

What is the success rate of laser piles surgery?

Answer

Laser piles surgery in Dr. Kharde's practice has a 95–98% success rate. The recurrence rate is less than 5% when patients follow post-operative dietary and lifestyle recommendations. This compares favourably to traditional surgery which has a recurrence rate of 5–10%.

Question 11

How do I know if I have piles or a fissure?

Answer

Piles (hemorrhoids) typically cause painless bleeding during bowel movements, a lump near the anus, and a feeling of incomplete evacuation. Anal fissures typically cause sharp, severe burning pain during and after bowel movements, often with a small amount of bright red blood. Some patients have both conditions simultaneously. Dr. Kundan Kharde will examine and accurately diagnose your condition before recommending treatment.

Question 12

Is fistula treatment different from piles treatment?

Answer

Yes. A fistula is an abnormal tunnel between the anal canal and the skin around the anus — it is a separate condition from piles. Fistula treatment requires surgical closure of the tract using techniques like VAAFT (Video Assisted Anal Fistula Treatment) or laser fistulotomy. It is not the same procedure as piles treatment, though both are treated by Dr. Kundan Kharde as a proctologist.

Question 13

How long does a consultation with Dr. Kundan Kharde take?

Answer

A first consultation takes approximately 20–30 minutes and includes a detailed history, clinical examination, and proctoscopy (if required). Dr. Kharde explains the diagnosis, treatment options, costs, and expected outcomes clearly before you make any decision. Consultations are available Monday to Saturday, 10:00 AM – 8:00 PM. A free initial consultation is offered.

Question 14

What should I eat after piles surgery?

Answer

After piles surgery, follow a soft, high-fibre diet. Recommended foods: cooked vegetables, fruits (papaya, banana, pear), oats, dal, curd, and plenty of water (2.5–3 litres/day). Avoid spicy food, red meat, maida (refined flour), alcohol, and caffeine for at least 4–6 weeks post-surgery. Dr. Kharde's team provides a detailed post-operative diet chart at discharge.

Question 15

Can piles recur after laser surgery?

Answer

The recurrence rate after laser piles surgery is less than 5% — significantly lower than traditional surgery. Recurrence is most commonly caused by a return to poor dietary habits (low fibre, low fluid intake), chronic constipation, prolonged sitting, or obesity. Following Dr. Kharde's post-operative lifestyle guidelines dramatically reduces the risk of recurrence.

Question 16

Does Dr. Kundan Kharde treat hernia and gallbladder conditions as well?

Answer

Yes. In addition to proctology (piles, fissures, fistulas), Dr. Kundan Kharde is a full laparoscopic surgeon performing hernia repair (TEP/TAPP), laparoscopic cholecystectomy (gallbladder stone surgery), laparoscopic appendectomy, varicose vein laser treatment, and pilonidal sinus treatment. Procedures are performed at Sharvari Hospital, Pimple Nilakh.

Question 17

Are there clinics in Baner or Hinjawadi?

Answer

Yes. Dr. Kundan Kharde consults at three locations across Pune: the main surgical centre in Wakad (Pimple Nilakh); Allure Aesthetics, Baner Road; and Sakhare Complex, Hinjawadi. All three offer consultations and pre/post-operative care. Procedures are performed at Sharvari Hospital, Pimple Nilakh.

Question 18

How do I book an appointment with Dr. Kundan Kharde?

Answer

You can book an appointment in three ways: call +91 99602 83338 directly, send a WhatsApp message to book a consultation slot, or visit the Contact page on this website. Clinics are open Monday to Saturday, 10:00 AM – 8:00 PM. A free first consultation is available. Emergency cases are seen on priority.

Question 19

What is an anal fistula and what causes it?

Answer

An anal fistula is an abnormal tunnel between the inner lining of the anal canal and the skin near the anus. It usually develops after a perianal abscess that does not heal properly. Conditions like Crohn's disease, tuberculosis, or repeated infections can also cause fistulas. Dr. Kundan Kharde at Sharvari Hospital, Wakad, provides expert diagnosis and treatment for all types of anal fistulas.

Question 20

What are the symptoms of fistula?

Answer

Common symptoms include persistent pain around the anus, swelling, discharge of pus or blood, itching, and fever during flare-ups. If you notice a recurring abscess or a small opening near the anus that drains fluid, consult a fistula specialist in Wakad for early evaluation and treatment.

Question 21

Can fistula be cured without surgery?

Answer

Simple fistulas may respond to antibiotics temporarily, but most anal fistulas require surgical treatment for a permanent cure. Medications alone cannot close the abnormal tract. Dr. Kundan Kharde recommends advanced laser procedures that offer faster healing with minimal discomfort compared to traditional open surgery.

Question 22

What is laser fistula treatment?

Answer

Laser fistula treatment (FiLaC) uses controlled laser energy to seal the fistula tract from the inside. It preserves the sphincter muscles, causes minimal tissue damage, and allows quicker recovery. If you are looking for laser fistula treatment in Pune, Sharvari Hospital in Wakad offers this advanced procedure under Dr. Kundan Kharde's care.

Question 23

Is laser fistula surgery painful?

Answer

Laser fistula surgery is significantly less painful than conventional surgery. Most patients experience only mild discomfort for a few days. The procedure is performed under anaesthesia, and patients typically resume daily activities within 3–5 days. Consult Dr. Kundan Kharde at Sharvari Hospital, Wakad for a personalised assessment.

Question 24

How long does recovery take after fistula surgery?

Answer

Recovery after laser fistula surgery usually takes 5–7 days, compared to 3–4 weeks with open surgery. Patients can return to office work within a week in most cases. Dr. Kundan Kharde provides detailed post-operative care instructions to ensure smooth and fast healing at Sharvari Hospital, Wakad.

Question 25

What is the cost of fistula treatment in Pune?

Answer

The cost of fistula treatment in Pune depends on the complexity of the fistula, the type of procedure, and hospital charges. Laser treatment may cost slightly more than open surgery but offers better outcomes and shorter recovery. Contact Sharvari Hospital, Wakad for a detailed cost estimate and insurance guidance.

Question 26

Can a fistula come back after surgery?

Answer

Recurrence rates depend on fistula complexity and the surgical technique used. With advanced laser treatment and proper post-operative care, recurrence is significantly reduced. Dr. Kundan Kharde uses MRI-guided assessment and precision laser techniques to lower recurrence risk for patients at Sharvari Hospital, Wakad.

Question 27

Who is the best fistula doctor in Pune?

Answer

Dr. Kundan Kharde is a highly experienced proctologist and fistula specialist in Wakad, Pune. He practises at Sharvari Hospital and specialises in minimally invasive laser procedures for fistula, piles, and other anorectal conditions. Patients across Pune trust his expertise for safe and effective outcomes.

Question 28

How do I book an appointment for fistula treatment at Sharvari Hospital?

Answer

You can book an appointment with Dr. Kundan Kharde by calling Sharvari Hospital, Wakad directly or by using the online appointment form on www.drkundankharde.com. Early consultation helps in accurate diagnosis and timely treatment, reducing the risk of complications.

Dr. Kundan Kharde — Pune's Trusted Fistula & Piles Surgeon

Painless Laser Surgery • 17+ Years Experience • 5000+ Surgeries

Expert fistula treatment in Pune

Our Treatments

Piles Treatment

Laser Piles Surgery

Fissure Treatment

Fistula Treatment

Hernia Surgery

Gallbladder Stone Surgery

Appendix Surgery

Varicose Veins Treatment

Circumcision Surgery

Pilonidal Sinus Treatment

IBD Treatment

Abscess Treatment

Skin Tag Removal

Infection Treatment

Pelvic Floor Therapy

Why Choose Dr Kundan Kharde?

Expert Surgeon

Patient-Centric Care

Advanced Equipment

Affordable Treatment

Meet Dr Kundan Kharde

What Our Patients Say

Do You Have These Symptoms?

Bleeding During Stool

Pain During Bowel Movement

Lump Near Anus

Anal Itching

Anal Swelling

Burning Sensation During Stool

Hernia Symptoms

Gallbladder Stone Symptoms

Pilonidal Sinus Symptoms

Varicose Veins Symptoms

Watch Patient Education Videos

Understanding Fistula Treatment

Laser Piles Surgery Explained

Recovery After Piles Surgery

Diet & Lifestyle for Piles