ArticleCureus2025
Three Years of Experience Using a Diode Laser in the Management of Common Anal Benign Pathologies: A Retrospective Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Laser Fissurectomy Combined with Limited Lateral Internal Sphincterotomy for Chronic Anal Fissure: A Minimally Invasive Technique.Lasers in medical science · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background The management of anorectal conditions continues to evolve with newer techniques for colorectal surgeons. Recently, diode laser technology has gained attention in proctology as a less invasive alternative to traditional surgery. The mechanism involves tissue shrinkage and degeneration and depends on the power of the laser and the duration of exposure. This method is associated with reductions in postoperative pain, bleeding, discharge, and hospital stays. Patients and methods This retrospective study involved 456 patients with hemorrhoids, chronic anal fissure, and perianal fistula. They were divided into three groups. Group 1 (156 patients) had hemorrhoids treated with laser hemorrhoidoplasty (LHP). Group 2 (144 patients) had chronic anal fissures and underwent closed laser lateral internal sphincterotomy. Group 3 (156 patients) had perianal fistulas managed either by fistula laser closure (FILAC) or laser fistulotomy. All of the procedures were performed at the Gastrointestinal Surgery Unit in the General Surgery Department at Tanta University Hospitals in Egypt over a three-year period (February 2021 to February 2024). Results In Group 1, LHP resulted in minimal postoperative pain (as measured by the visual analogue score), negligible bleeding (with no cases requiring intervention), brief hospital stays, and a low recurrence rate (one case). Postoperative edema was significantly associated with grade 4 hemorrhoids. Group 2 experienced no major complications, though 30 patients reported postoperative itching, which resolved with topical treatment. In Group 3, the success rate for FILAC was 73.9%, and the overall success rate was 76.9%. Recurrence correlated significantly with posteriorly located intersphincteric fistulas and fistulous tracts wider than 7 mm. Conclusion Diode laser treatment is a safe and minimally invasive option for managing hemorrhoids, chronic anal fissures, and perianal fistulas that results in favorable outcomes and minimal complications.
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