Physiotherapeutic effects of Er:YAG and Nd:YAG lasers in acute hemorrhoids
https://doi.org/10.33878/2073-7556-2025-24-3-149-156
Abstract
OBJECTIVE: to evaluate the effectiveness of nonsurgical treatment of thrombosed external hemorrhoids using a non-ablative erbium and neodymium laser.
PATIENTS AND METHODS a retrospective study included 14 females with thrombosed external hemorrhoids with severe pain, who was underwent a single procedure of perianal area irradiation with a non-ablative erbium and neodymium laser in PIANO mode.
RESULTS: the assessment of pain using a visual analog scale directly after the 15-minute procedure decreased from 8 (7; 10) до 1 (0; 2) points of VAS (р < 0,001). The severity of defecation pain was reduced over a week from 8 (7; 10) до 0 (0; 2) points of VAS (р < 0,001). One week after treatment, no pain occurred. No complications or symptom deterioration developed during the follow-up. No patients showed recurrence for six months follow up.
CONCLUSION: a single procedure of combined exposure to a non-ablative erbium and neodymium laser on the perianal area in patients with thrombosed external hemorrhoids effectively alleviates pain syndrome and promotes rapid symptoms regression, thereby avoiding surgical treatment and its associated long postoperative care and risk of complications.
Keywords
Supporting agencies: The research was carried out with the support of the scientific and educational project “Expertology”.
About the Authors
O. A. Pustotina
F.I. Inozemtsev Academy of Medical Education
Russian Federation
Russian Federation
Olga A. Pustotina.
22 Moskovsky Ave., letter M, St. Petersburg, 190013; 2nd pereulok Petra Alekseeva, 5-309, Moscow, 121471
tel.: +7 (916) 926-76-52
A. V. Lopatina
Limited Liability Company “Medical cosmetology”
Russian Federation
Russian Federation
Anna V. Lopatina.
Nezhinskaya st., 8, room 1, Moscow, 119517
Zdenko Vizintin
Laser and Health Academy
Slovenia
Slovenia
Stegne, 3, Ljubljana
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Review
For citations:
Pustotina O.A., Lopatina A.V., Vizintin Z. Physiotherapeutic effects of Er:YAG and Nd:YAG lasers in acute hemorrhoids. Koloproktologia. 2025;24(3):149-156. (In Russ.) https://doi.org/10.33878/2073-7556-2025-24-3-149-156
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