I was wrong about LASER surgery. | This is the future for hemorrhoids and fistula.

[@pjj.5649]

I would rather have a doctor with and open learning mind and admit that they made an error, than to have a doctor stuck in some old-school thinking, procedure and methodology because of their ego, stubbornness or refusal to change and learn something new. You put patients first which is a gift to patients that keeps on giving long after they are healed. Thank you for being honest, up front and open with us. I wish you were taking care of my situation.

[@unityforall-md4fl]

For me I don't view it as error, but better method came out with more growing evidence. He isn't afraid to software update us and patch up any holes of misunderstanding. Very few responsible,empathetic docs out there. The primary problem now is our coverage for it. Most general population have to fight for such procedures, more barriers, more obsticles just to get better treatments.

[@shawnsmith424]

Thank you guys

[@naturegirl4074]

This is what most Dr.s lack. The ability to say I was wrong and I’m sorry. Or learn new things. Thanks Dr. Chung. My friend saw you yesterday.

[@shakrmaker]

This is one of your greatest and most important videos so far. Thank you Dr. Chung.

[@veevee814]

Dr. Chung you have the biggest heart and an honest soul. Most people don't have that and for that you are special. I am 15 days post hemmeroidectomy surgery and let me tell you, your videos got me through the most difficult time of my life and I'm so thankful I found your channel. The week before surgery I was stage 4 from suffering 25 years after I had my son. I suffered in silence until they screamed we don't want to be a part if your body anymore. I thank you for giving me the courage to get the surgery and recovery. Your right..my surgeon used a laser and scissors and my recovery was not 😢too bad. I have soreness but most pain when I have a bowel movement but the pain is going away away and I've getting better everyday. So again do not beat yourself up because you are an angel.🙏

[@1wholovestrees]

Another reason why I love your channel; you are honest, forthright and know when you’ve made a mistake. A far cry from the rural medicine in my town. I’ve been to a chiropractor who uses a laser in his practice. It has healed my broken wrist, mended torn muscles and a bunch of other things. Thank you so much for doing the research on this and changing your mind. You are a kind soul.

[@Catlady12341]

If my doctor would say he was wrong, which he is all the time…I would faint!!! I appreciate you!

[@phillipmonroy]

Thank you for being honest Dr. Chung! You explained the procedure, and as always, the Insurance companies don't want to pay!

[@yourfriendlyproctologist]

Hopefully they will in the future. But they will always resist more expensive options.

[@kcchong-s2i]

​@@yourfriendlyproctologisthi Dr. Chung , can you let us know more on Bi Polar HET treatment Haemorrhoid Energy Therapy

[@CommonSense970]

​@@yourfriendlyproctologist man I can't afford the blocks of time you emailed me about and I'm stuck in Colombia with nearly money until April. I'm in excruciating pain. I saw a physician in Colombia and received a cream and pills. Still bleeding, still burning, I'm feeling absolutely desperate.

[@chuckhalen9543]

I swear, I would fly back and forth between Louisiana and California to have you as my doctor. The cost would be worth it. I've got some decisions to make in the very near future and your information and bedside manner is a breath of fresh air. Very informative, Dr. Chung.

[@karennicol2559]

Thank you Dr. Chung. Insurance companies should not dictate a physician's and patients options. What is the point of Research and Development of medical advances if they are unavailable to so many. I've paid cash for services as it was cheaper than using my insurance co-pay (Radiology).

[@yourfriendlyproctologist]

Agreed.

[@MarkBrown-uf8ct]

Dr's need to push insurance companies to cover this for the patients sake....

[@fehmeedquaiyumi6869]

Thanks for the frank and upfront video Dr Chung. I’ve been watching your videos for more than 1 year now. I had a LIS and fissurectomy procedure in August of this year in Gurgaon, India. I was very worried about the recovery, pain. But in India we have some of the best doctors, hospitals, insurance companies and cheap medicines. My recovery has been painless and fast. I thank my lucky stars that I was born in India and have been blessed with the medical care that India provides.

[@khaleja2412]

How many weeks it takes to recover for you sir??

[@fehmeedquaiyumi6869]

@@khaleja2412 it takes 8-10 weeks to recover fully.

[@khaleja2412]

@@fehmeedquaiyumi6869 can you pls give me some suggestions...like I had LIS too it's my 2nd week now...with medicines I don't feel any pain while bowl and stool movement but little uncomfort only...no blood at all...only light pus forming like 2drops a day...is this normal healing process or what?? Kindly tell me sir...

[@fehmeedquaiyumi6869]

@@khaleja2412 I’m not a doctor so best to check with a doctor.

[@khaleja2412]

@@fehmeedquaiyumi6869 then you don't have any issues after surgery sir??

[@Abcdfootball]

Wow doc! It takes guts to accept when you are wrong. I thought it was a clickbait but you are a good man. Likes and Love

[@Willowsilvermoon]

‘See the light’….at the end of the tunnel. 🤣🤣🤣🤣 Sorry, just had to! If you watched the entire video, you’ll get it. Your videos are just one way I’m doing my due diligence on hemorrhoid surgery. I’m going to have to schedule my hemorrhoidectomy at some point and I love your honesty!

[@kittehjuice]

Your thumbnails are hilarious. It's good to have a sense of humor.

[@SiphiweMkhize-dq4po]

I'm not gonna lie sometimes I just like to watch you speak and let your videos play along because you have a very high vibrating frequency it's just nice to listen to you but thanks for all the advice Doc?

[@amyfong7344]

Thank you for being brave, honest, and explaining in detail.

[@PeaceLoveUnityRespect]

7:57 you're incredible for admitting that you weren't fully aware about something and that you went above and beyond to learn more about the latest technologies and medical advancements ❤

[@WaitWhat-jy9ck]

Thanks for not being afraid to say you have evolved in your thoughts and approach to a treatment option. Technology is an awesome thing and can make life better for patients and physicians.

[@yourfriendlyproctologist]

Appreciate you saying this! I’m hoping word will spread and insurances will start paying sooner because demand is high.

[@MDR62MULES]

Unfortunately insurance companies suck. They make you (the patient & Dr) jump thru so many hoops before they will let you have a test or procedure that is the answer to the ailment.. Friend of mine hurt his arm. 1st an x-ray, 2nd physical therapy, finally mri ! Result- his muscles were torn off the bone resulting in surgery that was so over due that HR ended up with an arm that will never be the same or strong. It's not on you doctors it's on the insurance companies. Same thing is happening with me my arm hurts so bad there are days I want to blow it off with a shot gun. About the only thing patients can do is pray. Always get precertification thru the patients insurance just to be sure things are covered. I think laser is good or I wouldn't have all these stitch marks from hip to ankle from a previous vein removal. Keep up the good work. You are helping people you just may not know it.

[@MDR62MULES]

(He) ended up with arm damage. Hate these devices that "spell" for you.

[@honeyangel2018]

You are a great man for admitting your mistakes. Thank you.

[@readheadpm]

Hi Dr Chung, I have had H’s and I did not mind the non laser surgery as it was a relief to have them gone. Warmest Regards, Patricia

[@yourfriendlyproctologist]

Yes! Every procedure will have its place. I’m so glad yours are gone!!

[@VelGoesBrrr]

Thank you Dr. Chung! Please keep us posted on this technology as you use it more and more! Take care :)

[@yourfriendlyproctologist]

Will do!

[@RJMEX100]

I wish all doctors were this honest. Thank you!

[@tngal121]

You are awesome! Thank you so much for the update and the humility shown as a doctor. I wish you were my Proctologist!❤ ❤

[@URailroadZombie]

Hey I had a pretty painful hemorrhoid that basically made sex as a gay man impossible and started to get very very depressed. Thanks for providing info and hope. Im all good now but i am in constant worry about them coming back. Glad my proctologist told me to wait for surgery, i wasnt happy to hear it but he was right.

[@yourfriendlyproctologist]

Best to you in your recovery!

[@boobierubi8567]

How was the recovery was it painful I’ve heard it’s the worst pain of your life and you want to just die is this true ? I know everyone is different but just curious to know I myself am dealing with the same issue .

[@URailroadZombie]

@@boobierubi8567 I never got surgery and they went away for the most part im sure they are still there but they are not nearly as painful. Although it took months for them to heal up. Best advice i can give is use topical treatments until they heal on their own and if they dont after 6-12 months then maybe think about surgery. Also talk to a proctologist if you can without seeing a regular doctor first cause they are gonna examine you both times and its not fun.

[@eddiebalogh1590]

how did you get rid of them?

[@boobierubi8567]

@@eddiebalogh1590 best thing is to see a colorectal surgeon and get an examination . Some internal hemorrhoids they can band them which kind of strangles the hemorrhoid and stops blood flow to them and they pretty much shrink and die off . But if they get too big that’s when you need a hemorrhoidectomy and that you don’t want it’s so painful . External ones they lance and I had that done and it does hurt but not as bad as internal ones .

[@khushdwivedi8237]

FiLaC is one such surgery which is widely used in my country. It's a revolutionary laser surgey for hemmoroids, fistula and fissures. Tremendous results and speedy recovery for most of the patients. Zero incontinence issues. I see many people who had multiple failed surgeries of fistula from countries like Australia, US, Canada are now coming to India for having FiLaC at a much lesser price and getting amazing results. I was always wondering why the doctors in United states which is the most developed country in the world are still not doing surgeries like FiLaC and DLPL for their patients. After watching your video I understand now what's going on with the medical system in the US and these insurance companies propaganda. Thanks for making such informative video.

[@Inmate533]

I wish you really were my proctologist.

[@leohp8933]

Wow..😊 what a sigh of relief!

[@ricky3686]

I’m so glad you changed your mind on laser surgery!!! After having my THD surgery now I have painful external because I wasn’t given proper post op instructions on constipation

[@111laetitia]

You should train on the Laser option.....it's amazing

[@terra_cotta6319]

We love you Drn Chung!

[@ciskokidd5980]

Wonderful news. I would enjoy seeing a vid on this procedure

[@PAfarmboy]

Thanks for the update Doc. It's great to know there are options.

[@_jaber1]

What responsibility do medical hospitals and their providers have charging such outrageous prices for the services. Maybe if medical prices were reasonable, and insurances were not able to play doctors, patient care would be prioritized giving patients the best care available.

[@alformel]

I admire your honesty as a doc. Thank you for this video

[@robertslack3967]

hey doc...I got kinda horror story. I had a hemroidectemy 10 months ago that was the most brutal, painfully insane surgery I have ever had!! I have hard parts of my spine removed and it didn't come close to that pain!! So everything was good and just when I got over the pain and it was 2 months later and I went to the bathroom and boom I got hemroids AGAIN!! I was so traumatized from the last surgery I didn't do to get checked out for 10 months!! But most people don't know you bottom end makes the most mucus out of anywhere in your body and with hemroids the mucus is insane!! So it's causing all kinds of other health issues and the surgeon said I would need another hemroidectemy AND IM FREAKING OUT!!! I JUST CAN'T GO THROUGH THAT AGAIN!! BUT I CANT LIVE LIKE THIS MAN!!! to make things worse I was in a bad work accident in 2010 and I got a bunch of metal in my lower back so it's just such an issue man and I seriously think about jumping off a building!!! I saw this video and I was actually one of your first subscribers and I put you on Reddit😄. I believe the Lord Jesus Christ brought me to your channel so I could spread it to lots of other people so they could get help. I seriously wish all my doctors were like you man!!! I'm not just saying that you really helped a lot of people!! So this Lazer surgery got me excited and gave me some hope.....I'm willing I'm in P.A. but I'm willing to travel to come and see you...I know my Medicaid won't work in the state you live in.....I'm trying something called HEM-HEALER to see if maybe it will help but man I'm DESPERATE I need help man.....can you please let me know how much you would charge me for the Lazer surgury?? I'm so so desperate to get my bottom end fixed. I can't travel or take on any speaking engagements like this and many churches have been asking me to come and speak. I was supposed to speak at a conference in Africa in December but now that all these issues are happening because of these hemroids that came back 10 months after the most brutal surgery ever!! It traumatized me man. No joke my whole body starts to shake. I can't even show normal and alot of this is mental from that surgery I'm sure but I'm really REALLY DESPERATE FOR SOME HELP!!! please I honestly don't trust another doctor to even look at me down there after going through all of this. I know that Lazer surgery would be absolutely AMAZING and I really have been loosing hope to ever get a life back again till I just saw this video.......can you please give me the office number. I'm so desperate!! thank you man. I don't know if you will even see this but I'm going to pray you do!!! 🙏✝️❤️🔥

[@toneman8478]

My sympathy goes out to you fellow brother in Christ.. Lots of praying for your issue.. I will recommend a really good set of books from Anthony Williams. Especially cleanse to heal and liver rescue. Most people dont realize the Liver has alot to do with roids.. Bioflavonoids from Nature's Life will help with fast relief to get the veins to shrink back down.. Rutin is a very effective flavonoid that works quickly. Try drinking aloe vera and keep fats and proteins to a minimum.. papaya, bananas and potatoes are extremely healing foods. But everyone is different see what works for you..

[@robertslack3967]

@@toneman8478 hey thanks man.....ya I been taking Rutin and another bioflavonoid. I also got something called HEM-HEALER that's supposed to have a 94% success rate. I changed my whole diet after my hemroidectemy. My diet is basically scrambled eggs, oatmeal and bananas....I take stool softener 3 times a day but I'm a chronic pain patient so I take opioids since my spine surgery. Never really had any constipation issues. For some reason they don't affect me like that. I know that's not the problem because I had been taking them for almost 15 years before I had any issues......all this happened after I got covid and I couldn't even hold down water for almost 2 months. I had never been so sick. I'm a "COVID long hauler" whatever that is haaaa haaa. So I really haven't been healthy since......I finally went back to the surgeon but man Lazer surgery sounds like a dream compared to what I went through!!! I have tried everything and no good. THANK YOU SO MUCH FOR ALL THE PRAYERS!!! greatly appreciated!!!! I know the Lord can heal me just by thinking it so I have hope I'm going to wake up better one day but it's absolutely stopping my whole life. Anyway I hate talking about it. I'm praying this HEM-HEALER works!!! Have a great weekend 🙏✝️❤️🔥

[@314murdacapitall]

Jesus Christ won’t help you here, that fake praying believing stuff is 4 the 🐦 birds .. you see you got another 1 after your surgery!! This is real life not make belief Jesus stuff eat high fiber!!! Chang also didn’t respond .

[@314murdacapitall]

I hope you get treated tho but stop with the Jesus Christ will help me stuff please

[@Dookie69uk]

I know the pain, I haven't had surgery because of these horror stories but every day I wake up in fear knowing I'll be going to the toilet anywhere from 2-8 times in the space of 2 hours. I don't like sitting in chairs so just lay in bed all day counting down the minutes knowing it will be morning soon. It's no life, I might as well be dead. I love In the UK and they only cut and stitch at grade 4 piles and even then you have to wait over 12 months for it. I don't have the money to go private so I guess I'll just fear every morning and lay in bed until I'm dead. Man I'm so depressed.

[@RP-pe9wt]

I am so happy that I found your channel! I have been binge watching your videos! they're so informative!

[@Birm1967]

Thank you for being human and admitting it. What is avg cost of laser treatment ?

[@oobihdahboobeeboppah]

I think what's lacking is the arena where insurance companies are sat down and instructed by the medical community to stay in step with technology. I remember having colonoscopies without sedation! I'm of the opinion that all changed with insurance employees started to have the procedure regularly.

[@LaserSteve101]

Another helpful and informative video. Glad to say its been day 5 sinse my 2nd banding on a Gr3 internal, which protruded every BM for last 5 years IS GONE !!! It's so wierd but so much better, so far. I'm up in Canada, eh. Yourself, and this channel have been so helpfull - thank you Dr Chung. Still looking forward to your releases as i hope to put this behind me ! Ty Steve.

[@shakrmaker]

Did your physician tell you if your Gr3 was a small, medium, or large Gr3, if that was discussed? Just curious.

[@LaserSteve101]

@@shakrmaker nope. Id say it was med to large.

[@shakrmaker]

@@LaserSteve101 thank you so much for that info Steve. Bless you sir.

[@shakrmaker]

@@LaserSteve101 oh, one other question, was yours a Gr3 the entire 5yrs? And needed replacement after BM for those 5yrs? Did it prolapse during other activities? Thank you again Steve.

[@josephdillon7420]

Well spoken doctor. Thanks for your updates, very helpful information!!!

[@bruninhamendes3213]

Also for fissures. Laser surgery for anal fissures is really good. All doctors are saying is the best thing. Way less pain, recovery much faster.

[@naturegirl4074]

😢 ugh so messed up. I hate that everything is about the money.

[@laneadamslivingwell]

Thank you Dr. I am new to your channel. I haven't "needed" a proctologist but when you do.... you do! Out of the blue I am pretty sure I have an abscess or some sort of cyst that came one very quickly. I was out of town and so next week I will be seeing a nurse practitioner and then hopefully will be referred to a proctologist if needed. I'm hoping it can just be aspirated or something simple. I don't really feel like I have an infection at this point it does not feel super super painful. At the beginning yes but I feel like I got on top of it rather quickly. Anyway, we shall see I may be contacting you if I'm not happy with the information they give me. I'm glad I am feeling prepared with information before going in. I'm not one to do crazy surgeries or anything like that. I'm definitely more leaning toward natural ways to take care of things. Again, thank you so much and it's great to hear that. You realize you can change your mind! That's how we grow.

[@yourfriendlyproctologist]

Best to you in your recovery!

[@dora.7873]

Thank you, Dr. Chung, for sharing this important information! I am curious to know whether any of the laser hemorrhoid surgeries that you have performed were paid for by insurance or or did all these patients have to pay out of pocket? And if the procedure WAS covered in some cases, what was the deciding factor? Thanks.

[@ll-raouf-ll6765]

You're amazing doc ❤

[@elkidgaming]

Thanks Dr. Chung for your honest opinion on this subject. I checked your videos and don’t see any topics on Hemorrhoid Embolization. Is this an effective treatment and considered a worthy option?

[@williambranham6249]

You have helped me. Thanks!

[@mohammedosmanaliimran7872]

Thanks Dr. Chung. While I benefitted a lot from your videos specifically on Anal fissures, I couldn’t avoid a procedure on my fissures last year. I was prescribed a Laser procedure and as you mentioned it worked great. I was up in couple of days and it was life changing as I’m without pain after several years. However, I’d flag a side effect of it, which is incontinence (or may be soiling). I notice that a very small amount of poop always keeps leaking.

[@yourfriendlyproctologist]

Best to you in your recovery!

[@314murdacapitall]

@@yourfriendlyproctologist😂 best in your recovery?? That’s all he says he gives 2 fucs

[@balanagarajan7905]

Where u have done? Please am also have fistula

[@tvtv-m9h]

Was this caused by the laser? How did you end up resolving it

[@dougcohen1951]

Hey is the laser you’re referring to infrared coagulation? Does this work for external hemorrhoids?

[@paulalee9884]

Hi Dr Chung, can you share a light on infrared coagulation treatment for internal hemorrhoids. Thanks!

[@andrewp7902]

I need to come to your practice ASAP. I need this

[@naomideleon8363]

My aunt got laser done in a country where her insurance did cover laser. Unfortunately this was the most painful and horrible way as far as laser !! I had the traditional hemmroidoctemy a few years ago and although I had some bowl moments accidents during recovery it was because of was drinking way too much mirilax and fiber etc. As soon as I figured out my own recovery diet it was easy after that !!! My pain was almost non existence... my first bowel movement didn't hurt that much at all.. I myself spent years so scared of the traditional surgery ! My life is awesome now ! My butt looks good too ... 😅 Also my surgeon is the best of the best she's the president of the colorectal cancer here ..

[@jersonnunez6174]

When is your last operation ?

[@Datb2]

Was it open or closed?

[@Datb2]

Who’s the surgeon name?

[@tvtv-m9h]

What happened to her ?

[@okkiankotamto]

hello Dr Albert. I'm Dr. Okkian from Indonesia. Very interesting content about laser applications in proctology with insurance financing. We in Indonesia also face something similar. where laser application on hemorrhoids and fistulas is often rejected on the reason that it is still in the experimental stage. In fact, as far as I know, laser aplication in the field of proctolgy is not in ICD10.

[@djankoulrea3463]

lot of patients complain about recurrence after Laser, any research done on that regard ?

[@buckyb7658]

So are you going to address the issues in the first episode? Cost insurance will pay for, success rate, and return rate? Will you have updates on your 1 year patients after laser surgery? Laser is not offered in many rural cities unfortunately.

[@autumn1231]

I'm a new subscriber. Although my butt is perfect, I'm here for my wife. I think Dr. Chung is wonderful. Almost makes me want hemorrhoids. I better be careful what I ask for. I was a huge fan of the late Norm McDonald and I can "hear" Norm in Dr. Chung. Now I'm going binge watch this station. Hopefully this station can give my wife some relief.

[@yeahyeahyeah2935]

You don’t want this. Trust me. When it gets bad you lose your will to live.

[@autumn1231]

@@yeahyeahyeah2935 this comment makes me more sympathetic with my wife.

[@BaskingInObscurity]

I would think that laser surgery carried a lower risk of after-procedure infection, as well, having been cauterized.

[@brianm6105]

So how do I find a provider that has this equipment?

[@PM-xq7vt]

Thank you for sharing your knowledge you are the best Dr. Chung👍👍👍👍🙏🙏🙏🙏

[@snoopy1965]

❤ and blessings to everyone

[@allenweist4483]

Our Doctor has now seen the "LASER" light!

[@jewelleryaddict]

Thanks for your honesty. To admit change of thought is a good thing. We are all learning it’s just life. Wish all doctors would especially for us who have been dumped by our doctors who after years will not continue to treat our chronic pain with opiates because they work and with less damaging side effects to our body as do long term NSAIDS. and aspirin type products which we must take for years and cause damage to kidney, stomach and liver.

[@yourfriendlyproctologist]

Best to you in your recovery!

[@nichill7474]

Love this video. What do you think about banding with laser for grade 4? I’m in Hawaii and no doctor here that i have found will open their mind to any improved, advantageous treatment for hemorrhoids. I hope that changes soon. I need a hemorrhoidectemy but refuse the cut and stitch method with dangerous pain meds. I am a recovered addict and don’t want to have anything to do with these drugs but i hate the idea of excruciating pain.

[@yourfriendlyproctologist]

Not a fan of banding for grade 4.

[@CarlosRodriguez-ur2fm]

I just got my regular procedure done , my wife insisted friends of here did laser and it worked great. I didn’t listen and now it’s m under the painful recovery on my 3er day after the procedure from the regular process, shame on my doctor

[@rangreezrangreez172]

Shame on you u did not listen to your wife Always remember wife is always right n your best well wisher doctors now days are just money puppet they treat patients for money so that patient comes to them on regular basis n their shop runs .I wish you had listened to your wife buddy n had a little interaction with your wife's friends before your own surgery .

[@pattitippo7294]

Thank you 😊

[@beckymellon8135]

❤❤❤ appreciate you😊

[@artbite12]

I am in Texas and found one dr so far to do laser . It is expensive but worth it for 2 hemorrhoids $ 4200 and local numbing only required with injection cant wait to get rid of this pain next month

[@Novelbrocolli]

Hi! Was it finally done ?

[@srleb3462]

Glad you accepted new technology Dr Chung 👏What you think about even less invasive option IRC ?

[@LanLe-rz4lm]

I'm trying to find a doctor who does this, and it's difficult, as everyone wants to do banding. I can't travel across the country.. I found out that only in AZ do they have the BEST means to handle it, which is to vaporize the piles leaving it look like you never had them. Online searches don't show many doctors doing laser procedure. I spoke with one in my region and he said he doesn't think anyone in my area does it; they only do banding or surgery.

[@fayeni1005]

Thank you so much doctor! I never thought this kind of stuff is treatable by doctor like fissures…took me a while to even find out what the actual name for this embarrassing condition. I’m super happy and am going to see if a doc can see me to treat it…such as laser…:)😊

[@norecordkk]

So much great advice

[@actioncamsports]

So there is another channel that is overseas and advertises laser surgery heavily. There are also some videos of laser procedures being done in other states than the one I live in. After seeing a lot of these videos, I really got sold on the idea of laser surgery. Finally, I had colonoscopy with a five-star laser surgeon who was local and in my hmo. Before he even did the colonoscopy, he told me he stopped doing the laser treatments because too many people complained about the recovery, and he wasn't interested in hurting people or making things worse.

[@yourfriendlyproctologist]

Interesting....very contradictory to what I have experienced.

[@tvtv-m9h]

What sort of treatment did you end up getting?

[@actioncamsports]

​@@tvtv-m9hDiet and behavioral changes. I don't have pain, but I have some bleeding. Manageable but inconvenient.

[@aliasadi6021]

Dr. Chang, you’re an amazing help and voice for a lot of people. I live in Chicago and have been to 2 separate colorectal surgeons who don’t think I’m a candidate for surgery but I am experiencing physical and mental discomfort daily. I’ve had a couple banding procedures done in the past but no one has ever mentioned this laser treatment as an option. How do I go about finding out if this is an option for me from someone experienced?

[@balanagarajan7905]

I think u may opt for staple procedure also. May b am wrong Consult about it. .

[@tvtv-m9h]

What did you end up doing ?

[@yasser9740]

thank you dr chung we respect u a lot and learning new technologies is very important in this field, can u please upload videos in the near future about fistula as will? am having small fistula and I don't know about the efficiency of laser fistula surgery.

[@yourfriendlyproctologist]

Yes! This is in the works

[@jenntuomala6259]

@@yourfriendlyproctologistif there’s a way to find out where laser fistula surgery is offered in the US, that would be good information for patients. It seems to be quite uncommon here.

[@yasser9740]

am not from USA @@jenntuomala6259

[@ericdavis956]

Hola Dr Gracias for your honesty. I know that you are still researching using Lazer for Fissures but I would be interested in your thoughts on using Laser to fix a recurring or new fissures after you have had a LIS procedure. I had a LIS done back in March and have had some recurring issues. Gracias Eric

[@tvtv-m9h]

What options did you find

[@tumitoto]

Laser can deal with both internal and external hemorrhoids? Thanks, and you got a great channel going on.

[@priyankamadan9158]

I also have the same question

[@jimrice4699]

I don't think you explained the "why" in "why you changed your mind". Yes, you indicated that you had a bias because many payors do not reimburse for the laser procedure, but that does not explain not being aware of the science and the change of mind. I am not finger pointing. I am simply curious about exactly what changed because that then goes to the heart of sharing the science that is available about these treatments. Was there a gap in sharing of the information? My editorial comment is that payors (and perhaps others) do not put enough emphasis on the benefits of lower pain and faster recovery. Kind of like a municipality taking a low bid on a highway improvement project even though the low bid employs work only on weekdays between 8 am and 5 pm. The municipality prefers to offload the enormous social cost (time, pollution, etc.) onto 3rd parties (society and local residents) rather than select the more cost effective solution overall (for instance, a solution that has crews working 24 hours per day 7 days per week or crews working only at night and weekends.

[@darkmodeinternational3889]

The companies not approving these new proceed should not be allowed to partake in them. Believe me I’ve been cut 3 times in 3 different surgeries! The Blade shows not mercy and the recovery time is worst!

[@yili168]

Hi Dr , can u do a video about Hemorrhoid Artery Embolization? Does it treat grade 3 or 4 H? Thanks!

[@alexandros2638]

Hey, Dr. Chung, 2 quick questions: Does this procedure help with external hemorrhoids as well? And is this different from IRC correct?

[@jeanettereid7902]

Thank you for being so honest with us, Dr Chung! Do you know if this laser surgery available in BC Canada?

[@barbmckinnon1283]

Thank you so much for your videos they’ve been very very helpful. I have a very complex horseshoe fistula. With many setons. Can you do a video about the pros and cons of moving to a stoma versus all the setons etc.? I think you and advance if you could find time to do a video on this. Of course I’ll be talking to my surgeon but I always like to see what someone else would say and you’re so good at explaining things. Thanks!

[@yourfriendlyproctologist]

Horseshoe are very complicated! that video will be in the works.

[@barbmckinnon1283]

@@yourfriendlyproctologist Thank you so much doctor!

[@Tripokaridos22]

Is there a way for external hemorrhoids surgery without anesthesia?

[@felixcardona1881]

Do you recommend ligasure hemorrhoidectomy? Is the recuvery less painfull?

[@pokrec]

The other side of this coin is, that prices for any treatment in the US are INSANE. Who sets them? It is cheaper to get the plane and travel to eastern EU to have your teeth cured than to do it in America. In Poland for example, the national health insurance fund does not refund rubber banding of hemorrhoids. The only option is classical surgery and stitching. But you can do it privately and the cost of one hemorrhoid banding is like 10% of an average monthly wage, so for the majority of our society we do not get into lifetime debt because of such procedure. BTW, great videos. They help me a lot in my journey to healthy bottom!

[@rosalindwong9609]

My husband had removed his hemorrhoids removal twice. First time no pain but second time very painful due having two together one in front and behind.Now many clinics are doing it at a cheaper price.

[@rangreezrangreez172]

How is your husband now

[@abhijitbanerjee4063]

Thank you Sir for uploading such informative videos. Would you please let us know about your opinions on laser surgery for Fistula ?

[@katemunro2579]

I got laser haemorrhoid surgery here in NZ 3 days ago. The only pain medication I’m taking now is Panadol once a day, an inflammation tablet and cream twice a day. I’m walking around the block, driving kids to and from school and light house work. After I do a number two it stings like I’ve been stung by a bee, but goes after a shower in a few minutes time. So far so good !!

[@rangreezrangreez172]

I m planing to undergo grade 4 hermorroids laser surgery on 3rd August 2024 , plz tell me few things honestly 1.are u able to hold your motion I mean control your motion ,I m worried because I read many comments that after surgery people loose motion holding power. Sometimes even loose fart control 2. After surgery does anus hole size becomes big or it's same What are the re occurance chances of hermorroids after surgery Did u get any swelling or bleeding during 1 stool passout Plz reply Regards

[@tvtv-m9h]

How are you feeling?

[@Masters_Yukesh]

Hey update us on what happened to you please​@@rangreezrangreez172

[@Novelbrocolli]

@@rangreezrangreez172hi! Did you get the surgery ?

[@miguelito9613]

Dr you should also talk where we can have that laser surgery dane and about the cost because like you said insurance fo not cover . Give us a avrg. Price like between this $ to thiss $ but not more than tjis$$$

[@josephgarner94]

Do most doctors not offer this laser procedure for hemorrhoids?

[@sangeenshahkhan]

5 sentences in whole video worth listening

[@Dad_Brad]

Thank you Dr. Chung, YOU SAVED MY ASS!!😮😅

[@kimrudolph6251]

So what's the best laser clinic in the USA to do this hemorrhoids surgery? Who has the most experienced doctors?

[@Ogre2011]

Please discuss radio frequency ablation

[@tyreikdurant1142]

Dr.Chung after watching both videos Im not convinced of your new found confidence in the laser surgery option. Are the statistics that you provided with the older video wrong? Are there new more reliable studies that disprove them and paint a better picture of recovery and possible reemergence of hemorrhoids? This video seemed to only reinforce the pros of the surgery you mentioned in the last video but the cons you were so passionately against havent been addressed here.

[@mukeshbharadwaj4768]

Sir what is your opinion on sphincterotomy for tight sphincters with laser technology? Would it help in relaxing the sphincters and help relieve the constipation?

[@yourfriendlyproctologist]

I am not a fan of the sphincterotomy procedure. Check out my videos on anal spasm and pelvic floor physical therapy.

[@rachangoudapatilnidoni5058]

​@@yourfriendlyproctologist doesn't tight sphincter cause piles

[@robertpinsky9230]

Can you go into more detail about this procedure? What will the recovery be like and how long will it take? How much does it cost vs non-laser treatment? When would you use it with an anal fissure? (you previously said you wouldn't perform surgery on an anal fissure)

[@certhass]

i never will understand why insurance regardless of private or state funded will choose methods which means more pain and longer recovery time - which means in the end higher costs for the treatment (and if state funded a patient that needs more time at home instead of working and earning money and paying taxes)

[@Tnc874]

Doc. Im glad i found your channel. I had my 1st flare up in July!. I had a mini one while healing but its been getting better slowly. I got the cream from my doctor, Im still doing low residue but ive added some fruit and veggies back. I tried some oatmeal but ummmm it bulked up my poop and my butt was not happy lol. I talk 1/2 miralax daily. And i stay hydrated. 1 day at a time❤

[@yourfriendlyproctologist]

Best to you in your recovery!

[@Ogre2011]

How many haemorrhoids can be treated per session with laser?