Piles, Fissure, Fistula
Treatment in Karachi
Safe. Laser. Permanent.
Dr. Abdullah Iqbal is Pakistan’s first laser proctologist, specialising in minimally invasive treatment for haemorrhoids, fissures, fistulas and pilonidal sinus in Karachi.
Not sure if you have piles, fissure or fistula? Many patients are misdiagnosed for years. Take our free 2-minute symptom quiz →
Specialist Laser Treatments at Karachi Piles Clinic
Every condition we treat has a dedicated laser procedure. Click any card to read the full clinical guide including symptoms, grades, procedure steps and recovery.
Piles Treatment
Grade 1-4 haemorrhoids treated with laser. Same-day discharge, 3-5 day recovery.
Full guide →
Fissure Treatment
Severe anal pain during bowel movement. Permanent relief without open surgery.
Full guide →
Fistula Treatment
Recurring pus near the anus. Laser closure with no sphincter damage or incontinence risk.
Full guide →
Pilonidal Sinus
Tailbone area pain and swelling. Laser closure with under 5% recurrence rate.
Full guide →
Perianal Abscess
Hot painful lump near the anus. Same-day drainage available. Prevents fistula formation.
Full guide →Not Sure?
Take the Symptom Quiz
Answer 10 simple questions about your symptoms and get a likely diagnosis in 2 minutes.
Laser Surgery vs Conventional Surgery
Patients who have had conventional surgery elsewhere consistently report that laser procedures at KPC were dramatically easier. Here is a direct comparison so you can make an informed decision.
| Factor | 💣 Laser Treatmentat Karachi Piles Clinic | Conventional SurgeryOpen Procedure |
|---|---|---|
| External Cuts / Incisions | ✓ No cuts on skinKeyhole | ✕ Open incision required |
| Anaesthesia Required | Local or mild sedation | General anaesthesia typically |
| Hospital Admission | ✓ Same-day dischargeDay Care | ✕ 1–2 nights typical |
| Post-Op Pain Level | ✓ Minimal — simple painkillers | ✕ Significant for 2–4 weeks |
| Return to Work | ✓ 5–7 daysFast | ✕ 4–6 weeks typically |
| Wound Care Required | ✓ No dressings needed | ✕ Daily wound dressing for weeks |
| Recurrence Rate | ✓ Under 10%Low | ✕ Up to 30% for some procedures |
| Sphincter Safety (Fistula) | ✓ Preserved completely | ✕ Risk of incontinence |
| Procedure Duration | 20–40 minutes | 45–90 minutes |
| Suitable For | Piles, Fissure, Fistula, Pilonidal Sinus | Piles & Fistula mainly |
Why Every Procedure at KPC Is Laser-Based
Conventional open surgery for anorectal conditions means cutting tissue, large wounds, hospital stays, and weeks of recovery. Laser surgery changes this completely — a fine fibre delivers energy precisely inside the tissue. No large cuts. No stitches. Home the same day.
- No external cuts or incisions on the skin
- Performed under local or sedation anaesthesia
- Same-day discharge — no hospital admission
- Return to light work in 3–5 days
- Significantly less post-operative pain
- Lower recurrence rates than conventional surgery
Qualifications
Dr. Abdullah Iqbal — MBBS, FCPS
Dr. Abdullah Iqbal is a FCPS-qualified general surgeon who made a deliberate decision to specialise exclusively in anorectal conditions — becoming Pakistan’s first dedicated laser proctologist. His clinic, Karachi Piles Clinic, is the first in Pakistan to offer all four major laser anorectal procedures under one roof.
Over more than a decade of focused practice, Dr. Abdullah Iqbal has performed over 5,000 procedures — laser piles surgery (LHP), laser sphincterotomy for fissure, FiLaC for fistula, and Sinus Laser Closure for pilonidal sinus. Many patients come to him after being misdiagnosed elsewhere for months or years.
Laser Procedures
Insurance & Corporate Panels We Accept
Karachi Piles Clinic supports cashless & reimbursement claims for laser piles, fissure, fistula and pilonidal sinus surgery under all major Pakistani insurance providers. WhatsApp 0333-2877351 to verify your policy before your appointment.
Logos shown are for identification only. Coverage and pre-authorisation depend on your individual policy terms.
What Our Patients Say
Real feedback from patients who came to Karachi Piles Clinic after struggling with misdiagnosis, delayed treatment or fear of surgery.
“Honestly was avoiding this for over a year, kept thinking it would go away on its own. Finally went when bleeding got worse. Dr. Abdullah didn’t make me feel weird about it at all which I really appreciated — just a normal medical conversation. Laser procedure ke time bas pressure feel hua, dard nahi. Was back at my desk in 4 days. Sirf yeh shikayat hai ke pehle kyun nahi aaya.”
“Lahore se aaya specifically for this. Three doctors in our city gave me three different opinions — one said piles, one said fissure, one wanted to do open surgery for 80k right away. Dr. Abdullah ne 15 minute mein proper examination ki and explained it was actually a fissure with grade 2 piles together. Got the laser sphincterotomy. The travel was worth it just for the correct diagnosis. 6 mahine waste ho gaye doosre doctors ke chakkar mein.”
“Posting this for my walida, she is 62 and had been suffering for almost 10 years. Hamare ghar mein sab open surgery hi karwate aa rahe the so laser ka socha hi nahi tha. Dr. sahab ne baith ke poora samjhaya in Urdu, ammi ke saare sawal patience se sune. They didn’t make her feel ashamed which mattered a lot at her age. 5 days baad walking normally, ek hafte mein dawai bhi khatam. Allah inko aur barkat de aur sehat de.”
“Pilonidal sinus 3 baar pehle open surgery se karwaya tha at different hospitals, har 6-8 mahine mein wapis aa jata tha. Genuinely was losing hope. A friend ne KPC ka bataya. Procedure 40 minute mein ho gayi, no big cut, no daily dressing wali tension. It’s been 14 months now and Alhamdulillah recurrence nahi hui. Yes it cost more than the open surgery, but compared to losing 6 weeks of work every year — the maths makes sense honestly.”
“Tried two private hospitals before this. First one wanted to do all kinds of unnecessary tests. Second one quoted 60k then on procedure day suddenly bola anesthesia separate hai, facility charges alag. Aaya yahan on a friend’s recommendation. Mujhe written quote di gayi before booking and that’s what I paid — no surprises. Procedure went smoothly. Follow-up was already included. Yahan tak ka honesty Karachi mein milna mushkil hai.”
“Hamari culture mein for a woman to go to a piles specialist is not easy at all. I cried so many times before finally booking. The female staff made me comfortable from the first phone call onwards. Dr. Abdullah was respectful during examination, used proper drapes, didn’t ask anything unnecessary. Same evening main ghar wapis aa gayi after the procedure. Mere shohar ka kehna hai ke main ab bilkul different lagti hoon — I had been in pain quietly for over a year. Posting this just so other women know it’s okay to go.”
Common Questions Answered
Is blood in stool always piles?
Bright red blood after passing stool is most commonly from piles or a fissure. It is rarely from anything serious, but persistent bleeding should always be examined by a proctologist to confirm the cause.
Is laser piles surgery painful?
The procedure is performed under local or sedation anaesthesia — there is no pain during it. Post-operative discomfort is mild and managed with simple painkillers. Most patients are surprised by how comfortable recovery is.
How do I know if I have piles or fissure?
Piles typically cause painless bleeding, itching, or a lump. Fissure causes severe tearing pain during and after passing stool. Both require a proctoscopy examination to confirm — a 10-minute clinic procedure.
How much does piles laser surgery cost in Karachi?
Laser piles surgery (LHP) at Karachi Piles Clinic typically ranges from Rs 150,000 to Rs 180,000 depending on grade and complexity. Exact cost is confirmed after examination at consultation.
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Book a Consultation at Karachi Piles Clinic
Dr. Abdullah Iqbal sees patients Tuesday, Thursday & Saturday — 5:00 PM to 8:00 PM. Walk-ins welcome during clinic hours.