Hemorrhoid treatment from the inside, in Seattle, Washington
Laser Hemorrhoidoplasty
When LHP becomes an option
- Internal hemorrhoids that bleed, prolapse, or keep coming back
- Symptoms that haven't improved with fiber, creams, or banding
- A strong preference to avoid the pain and downtime of traditional surgery
LHP isn't the right choice for every hemorrhoid. Large combined internal and external hemorrhoids, a thrombosed external hemorrhoid, or a fissure may need a different approach. The hemorrhoid's anatomy determines which treatment fits.
How LHP works
- A thin laser fiber is placed inside the hemorrhoid through a tiny opening
- Controlled laser energy shrinks the swollen tissue from within
- Over the following weeks, the tissue contracts and scars down into place
- The surface skin and lining are left intact
The tissue is shrunk, not cut away, which preserves normal anatomy. All involved hemorrhoids are treated in a single session.
Your visit
- A private exam to confirm the diagnosis and whether LHP is your best option
- A procedure of about 20 minutes, under sedation and local anesthetic
- Home the same day
- A follow-up visit at three weeks to check healing
Expect mild soreness and some swelling for several days, managed with simple pain relief and sitz baths. Light bleeding or discharge is normal as the tissue heals. Most people return to desk work within a few days.
What it costs
LHP is billed through your insurance. Most patients still have some out-of-pocket cost, such as a deductible, copay, or coinsurance. Our billing team reviews your benefits and gives you your expected cost before your procedure.
Performed by Dr. Kratz, at a surgery center
Common questions
Connected to your care
LHP is one option within our full hemorrhoid program, chosen when internal hemorrhoids haven't responded to simpler treatment. Our Hemorrhoids page covers the full range, from banding to surgery. A sudden, painful thrombosed hemorrhoid is treated urgently instead.
Stop planning your life around hemorrhoids.
Find out in one visit whether laser hemorrhoidoplasty is right for you.