Global Leaders in Surgical Laser Technology

Hemorrhoid disease is one of the most common anorectal disorders, affecting up to 50% of adults during their lifetime (Johanson, 1990). Excisional surgery is recommended for some cases but it's associated with severe complications such as bleeding, pain, incontinence, and prolonged recovery. Despite the low recurrence rate associated with excisional surgery, the severe complications can be discouraging to an otherwise healthy patient population (Kavraal, 2024).

Modern understanding of anorectal physiology has shifted treatment priorities toward minimally invasive, tissue-preserving strategies (Brusciano, 2020). Laser hemorrhoidoplasty (LH) is an effective, minimally invasive and less painful treatment of  hemorrhoid disease. Recent developments in diode laser and fiber technology enable physicians to confidently choose laser as their go-to energy tool, aligning their practice with 21st-century treatment goals (Brusciano, 2020). 

• Significantly less pain than rubber band ligation AND  hemorrhoidectomy at every post-operative timepoint (Emral, 2025. Tan, 2022)

• Earlier return to activity  compared to rubber band ligation AND surgery (3.6 days vs. 7.65 for RBL, 6 days vs. 13 days for excision) (Jain, 2024. Jin, 2024)

• A laser hemorrhoidoplasty can be safely and comfortably performed in 14-20 minutes and under local anesthesia  (Eskandaros, 2020. Weyand, 2019)

• 96% of all patients who had a laser hemorrhoidoplasty would recommend it to others and would undergo it again themselves (Weyand, 2013)​

Pilonidal sinus disease (PSD) was long misclassified as congenital, leading to radical excision as the dominant treatment. Though often effective, this approach came with significant downsides- prolonged healing, painful wound care, disfiguring scars, and months away from normal activity.  As PSD came to be understood as an acquired condition, the clinical goal shifted toward removing or destroying sinus tracts in a way that limits morbidity and preserves future treatment options. Laser therapy using a 1470 nm diode system reflects this shift. By collapsing tracts internally using a radially emitting fiber, this technique avoids external incisions and reduces damage to surrounding tissue. Compared to open or flap-based techniques, laser treatment is repeatable, tissue-conserving, and associated with less pain, scarring, and cosmetic disruption. These results reinforce the movement toward precision-guided, minimally invasive pilonidal care - offering effective treatment with faster recovery and lower overall burden.

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• No major post-operative pain (I. Romic, 2022)

• 92.8% returned to daily activities the same day (AF. Pappas, 2018)

• Lower recurrence rates (3.8%  at 24 months) (I. Romic, 2022)

• Performed under local anesthesia in the office/clinic  (VH. Yardimici, 2020)

Anal fistula is a chronic condition with significant morbidity. Traditional surgery often requires cutting through sphincter muscle, risking incontinence and recurrence. neoLaser offers a minimally invasive, sphincter-saving treatment for Fistula In-Ano.

Laser fistula closure involves using 1470 nm energy and inserting a fiber with radial emission into the fistula tract and applying controlled energy as the fiber is withdrawn. The laser energy induces destruction of the fistula epithelium and simultaneous obliteration of the remaining fistula tract by a shrinkage effect. This causes the tract to collapse and seal without sphincter damage, eliminating the need for open incisions, reducing recovery time, and resulting in no scars and immediate return to activity.

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• Procedure can be repeated without added morbidity, preserving future treatment options (SO. Adegbola, 2020)

• Shorter time to return to work and less postoperative pain (H. Tumer, 2023)

• Success rates as high as 82%  (E. Ozturk, 2014)

• Higher continence preservation, with incontinence reported in 0–1% of cases (H. Elfeki, 2020) (M. Frountzas, 2020)​​