
Dr. Vipin Tongale
General Surgeon & Proctologist
Fifteen years of dedicated practice, including twelve years of AYUSH service at District Hospital Amravati. Over 16,000 procedures performed across Vidarbha.
Read profileThe 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.
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.
Not every anorectal problem needs surgery. We start with what your case actually needs, and only move up the tiers when clinically appropriate.
For early-stage cases and preventive care. Dietary correction, fibre supplementation, sitz baths, topical medications, and lifestyle guidance.
Office-based procedures that avoid surgery entirely. Rubber band ligation, injection sclerotherapy, Matra Basti for chronic fissure. Same-day, back to work next day.
Ksharsutra (classical, IFTAK, Partial Fistulectomy variant) and Laser Proctology (LHP, FiLaC, SiLaC). Sphincter-preserving. Modern precision meets classical tradition.
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.
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.
From the most common presentations to the most complex recurrent cases. Every condition is examined, staged, and matched to the appropriate treatment tier.
Haemorrhoids graded I through IV, treated across all four tiers depending on grade and symptom severity. Conservative to conventional, chosen for the case.
Read about pilesAcute and chronic fissure. Conservative management, Matra Basti for chronic cases, and laser or surgical options when needed. Sphincter preservation is priority.
Read about anal fissureSimple, complex, high-position, and multi-tract fistula. Classical Ksharsutra, IFTAK, Partial Fistulectomy with Ksharsutra Ligation, or laser FiLaC based on anatomy.
Read about anal fistulaFistulas that have failed previous surgical treatment. Dedicated protocol with imaging, careful mapping, and Ksharsutra-based approaches proven for recurrent cases.
Read about recurrent anal fistulaAcute and recurrent perianal abscesses. Prompt drainage under local or spinal anaesthesia, with follow-up planning for possible fistula formation.
Read about perianal abscessRecurrent inflammatory sinus in the natal cleft. SiLaC (Sinus Laser Closure) as a minimally invasive option, or conventional excision based on anatomy.
Read about pilonidal sinusPartial and complete rectal prolapse. Careful assessment, conservative management for early cases, and surgical correction where indicated.
Read about rectal prolapseAll anorectal conditions treated by female specialist Dr. Swati Tongale. For patients who specifically prefer a female surgeon for sensitive care.
Read about female proctologyAnorectal conditions in children including fissure, prolapse, rectal polyp, and phimosis. Age-appropriate care with parental counselling throughout.
Read about paediatric anorectalFrom classical Ksharsutra and Ksharkarma to modern diode laser and office-based para surgical OPD procedures — matched honestly to your case.
Gold-standard classical para surgical techniques for simple, complex, and recurrent fistulas, piles, and chronic fissures with minimal recurrence and preserved sphincter function.
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.
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.
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.

General Surgeon & Proctologist
Fifteen years of dedicated practice, including twelve years of AYUSH service at District Hospital Amravati. Over 16,000 procedures performed across Vidarbha.
Read profile
Female Care Unit Lead
Female proctology, Uttarbasti-based fertility care, and Masanumasik Garbhsanskara. Practice built to remove access barriers women face with complete privacy.
Read profileBecause good decisions come from understanding, not from being sold. Three articles from our knowledge hub, curated for anorectal patients.
Three of the most common anorectal conditions, often confused. A clear comparison of symptoms, causes, and treatments to help you understand what you might be dealing with.
A practical guide for patients considering or currently undergoing Ksharsutra. From first application through complete healing, with day-by-day expectations and aftercare.
Bleeding during or after passing stool is commonly assumed to be piles. Often it is. Sometimes it is something more serious. Here is why every episode deserves attention.
Honest answers to common questions about diagnosis, procedures, and recovery.
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.