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गुदविकार चिकित्सा

Advanced Anorectal Care, chosen honestly for the case.

The full spectrum of anorectal treatment under one roof: conservative management, para surgical OPD interventions, Ksharsutra, laser proctology, and modern surgery. The right choice for your case, not the technique that sells best.

In one paragraph

The Advanced Anorectal Care Unit at Shri Manmukund Hospital treats the full range of anorectal conditions including piles, anal fissure, anal fistula (simple, complex, and recurrent), perianal abscess, pilonidal sinus, and rectal prolapse. Because we offer all treatment tiers under one roof, from conservative management through Ksharsutra, laser proctology, and conventional surgery, the recommendation you receive reflects your specific case rather than the limited techniques a specialist may be trained in.

Four tiers of care, applied in the right order.

Not every anorectal problem needs surgery. We start with what your case actually needs, and only move up the tiers when clinically appropriate.

01
First Line

Conservative & Lifestyle

For early-stage cases and preventive care. Dietary correction, fibre supplementation, sitz baths, topical medications, and lifestyle guidance.

When Applied
Grade I piles · Acute fissure · Early symptoms
02
Para Surgical

OPD Para Surgical Interventions

Office-based procedures that avoid surgery entirely. Rubber band ligation, injection sclerotherapy, Matra Basti for chronic fissure. Same-day, back to work next day.

When Applied
Grade II–III piles · Chronic fissure · No sphincter involvement
03
Advanced

Minimally Invasive

Ksharsutra (classical, IFTAK, Partial Fistulectomy variant) and Laser Proctology (LHP, FiLaC, SiLaC). Sphincter-preserving. Modern precision meets classical tradition.

When Applied
Fistula · Recurrent cases · Complex proctology
04
Conventional

Surgical Solutions

Traditional surgical approaches where they are genuinely the best option for the case. Full pre-operative workup, in-hospital care, structured post-operative follow-up.

When Applied
Grade IV piles · Extensive prolapse · Selected fistula

In practice, over half of our patients do not need Tier 3 or Tier 4 care. The most valuable thing we can offer is the honest starting point, not the most expensive one.

Nine conditions handled under one roof.

From the most common presentations to the most complex recurrent cases. Every condition is examined, staged, and matched to the appropriate treatment tier.

पा

Piles

अर्श

Haemorrhoids graded I through IV, treated across all four tiers depending on grade and symptom severity. Conservative to conventional, chosen for the case.

Grade I–IVAll tiers
Read about piles
भ

Anal Fissure

परिकर्तिका

Acute and chronic fissure. Conservative management, Matra Basti for chronic cases, and laser or surgical options when needed. Sphincter preservation is priority.

Acute / ChronicSphincter-safe
Read about anal fissure
भ

Anal Fistula

भगन्दर

Simple, complex, high-position, and multi-tract fistula. Classical Ksharsutra, IFTAK, Partial Fistulectomy with Ksharsutra Ligation, or laser FiLaC based on anatomy.

KsharsutraIFTAKFiLaC
Read about anal fistula
पु

Recurrent Anal Fistula

आवर्ती भगन्दर

Fistulas that have failed previous surgical treatment. Dedicated protocol with imaging, careful mapping, and Ksharsutra-based approaches proven for recurrent cases.

ComplexSecond opinion
Read about recurrent anal fistula
फो

Perianal Abscess

विद्रधि

Acute and recurrent perianal abscesses. Prompt drainage under local or spinal anaesthesia, with follow-up planning for possible fistula formation.

EmergencySame-day care
Read about perianal abscess
ना

Pilonidal Sinus

नाड़ी व्रण

Recurrent inflammatory sinus in the natal cleft. SiLaC (Sinus Laser Closure) as a minimally invasive option, or conventional excision based on anatomy.

SiLaCExcision
Read about pilonidal sinus
गु

Rectal Prolapse

गुदभ्रंश

Partial and complete rectal prolapse. Careful assessment, conservative management for early cases, and surgical correction where indicated.

Adult & child
Read about rectal prolapse
महि

Female Proctology

महिला गुदविकार

All anorectal conditions treated by female specialist Dr. Swati Tongale. For patients who specifically prefer a female surgeon for sensitive care.

Dr. SwatiPrivate
Read about female proctology
बा

Paediatric Anorectal

बाल गुदविकार

Anorectal conditions in children including fissure, prolapse, rectal polyp, and phimosis. Age-appropriate care with parental counselling throughout.

ChildrenGentle care
Read about paediatric anorectal

Three treatment approaches under one roof.

From classical Ksharsutra and Ksharkarma to modern diode laser and office-based para surgical OPD procedures — matched honestly to your case.

क्ष
Classical Para Surgical

Ksharsutra and Ksharkarma

Gold-standard classical para surgical techniques for simple, complex, and recurrent fistulas, piles, and chronic fissures with minimal recurrence and preserved sphincter function.

Classical KsharsutraKsharkarma TherapyIFTAK ProtocolPF-KsL Variant
Explore Ksharsutra hub
ल
Modern Minimally Invasive

Laser Proctology

Modern minimally invasive suite for anorectal conditions. Laser Haemorrhoidoplasty (LHP) for piles, FiLaC for fistula, laser fissure treatment, and SiLaC for pilonidal sinus. Faster recovery.

LHP Piles LaserFiLaC Fistula LaserSiLaC PilonidalLaser Fissure
Explore laser proctology hub
अ
Day-Care OPD

Para Surgical Piles Interventions

Office-based, day-care OPD procedures for early-to-moderate piles without surgery, incisions, or hospital stays: Rubber Band Ligation, Injection Sclerotherapy, and Matra Basti.

Rubber Band LigationInjection SclerotherapyMatra BastiZero Cuts / No Stitches
Explore Para Surgical Interventions

Both specialists, consulting daily.

Neither Dr. Vipin nor Dr. Swati sees you and refers you to junior associates. You are seen by the specialist you booked with, throughout your treatment.

Dr. Vipin Tongale - General Surgeon & Proctologist

Dr. Vipin Tongale

General Surgeon & Proctologist

MS Ayurveda Shalya Tantra · PhD

Fifteen years of dedicated practice, including twelve years of AYUSH service at District Hospital Amravati. Over 16,000 procedures performed across Vidarbha.

KsharsutraLaser ProctologyGeneral Surgery
Read profile
Dr. Swati Tongale - Female Care Unit Lead

Dr. Swati Tongale

Female Care Unit Lead

MS Ayurveda Shalya Tantra

Female proctology, Uttarbasti-based fertility care, and Masanumasik Garbhsanskara. Practice built to remove access barriers women face with complete privacy.

Female ProctologyUttarbastiGarbhsanskara
Read profile

Before you decide, read what we’ve written.

Because good decisions come from understanding, not from being sold. Three articles from our knowledge hub, curated for anorectal patients.

Playbook

Ksharsutra treatment, week by week

A practical guide for patients considering or currently undergoing Ksharsutra. From first application through complete healing, with day-by-day expectations and aftercare.

Frequently asked questions about anorectal care.

Honest answers to common questions about diagnosis, procedures, and recovery.

Do all anorectal conditions need surgery?
No. Many anorectal conditions can be managed with lifestyle changes, medication, or office-based procedures. Surgery is recommended only when it is genuinely the best option for the patient.
Is anorectal examination painful?
The examination is uncomfortable but rarely painful. Modern practice includes lubrication, small-diameter instruments, and unhurried technique to minimise discomfort. Female patients may specifically request Dr. Swati.
How long is recovery after anorectal treatment?
Recovery varies dramatically by procedure. Office-based procedures often allow same-day return to work. Laser procedures typically need 2 to 5 days. Ksharsutra involves weekly follow-up over 4 to 8 weeks. Conventional surgery may require 1 to 2 weeks of recovery.
Do you offer day-care procedures?
Yes. Rubber band ligation, sclerotherapy, laser haemorrhoidoplasty, laser fistula treatment, and many minor procedures are day-care. Patients arrive in the morning and go home the same day.
Do you accept insurance?
Shri Manmukund Hospital is registered under ROHINI (Registry of Hospitals in Network of Insurance), which is the national identifier system for hospitals under insurance networks. For cashless treatment, we currently carry select cases through partner hospital arrangements while our own cashless empanelment is under process. Please call 8208927917 for current information on insurance panels and cashless options for your specific insurer.
Can I speak to the doctor before coming in?
Yes. We understand anorectal problems are sensitive. Call 8208927917 to arrange a preliminary phone or WhatsApp discussion before your first visit.
What if I have already been treated elsewhere and the problem returned?
Recurrent and complex cases are a core part of our practice. Please bring any previous reports, discharge summaries, or operative notes when you visit.
आइए, मिलते हैं

Ready for an honest anorectal consultation?

Come for a proper examination, an honest opinion, and a recommendation that fits your case. If a consultation reveals we are not the right fit, we will say so.