Hemorrhoid Treatment in Moscow: Conservative Care and Laser Surgery (LHP)
Message Dr. Tatarinov directly on WhatsApp or Telegram in English — he replies personally.
- Treatment is chosen after an examination, according to the grade and your symptoms.
- Early grades usually respond to diet, stool control and medicines.
- Laser hemorrhoidoplasty (LHP) is an option for grades 1–2; grades 3–4 need a different operation.
Dr. Tatarinov's English is basic; a consultation in English is possible.
Symptoms and why an examination is needed
Hemorrhoids are enlarged vascular cushions in the anal canal. Typical complaints are:
- bright red blood on toilet paper or in the bowl;
- a lump that comes out during straining and may go back by itself or need pushing back;
- itching, moisture and irritation of the skin;
- discomfort or pain, especially when a vein clots.
The same signs can be caused by an anal fissure, polyps or a tumour of the colon. That is why I do not prescribe treatment from a description: first an examination and, if needed, anoscopy. When the history or findings suggest a problem higher in the bowel, I refer you for colonoscopy.
Grades 1–4 in plain words
| Grade | What you notice |
|---|---|
| 1 | Occasional bleeding; nothing comes out. |
| 2 | Nodes slip out when you strain and return on their own. |
| 3 | Nodes come out and have to be pushed back by hand. |
| 4 | Nodes stay outside and cannot be pushed back. |
Treatment options after the examination
Conservative care
For grades 1–2 the first step is usually to remove the triggers: enough water and dietary fibre, a soft regular stool without straining, rinsing with cool water instead of dry paper, and not sitting on the toilet with a phone. Venotonic tablets and topical creams or suppositories are prescribed for a course when needed. If the symptoms keep returning despite this, we discuss surgery.
Laser hemorrhoidoplasty (LHP)
I perform LHP with a diode laser at a wavelength of 1.56 µm. A thin fibre is introduced into the node through a tiny puncture, and the laser energy shrinks the node from inside while preserving the lining of the anal canal. It is the option I consider for grade 1–2 disease that has not settled with conservative care.
- General anaesthesia; a stay of up to one day, often called the one-day route.
- Compared with classic surgery, there is usually less pain in the first days, but pain relief is still needed for about a week.
- Bleeding, swelling and slow healing are possible, as after any operation, and are discussed before surgery.
Grades 3–4: a different operation
For nodes that prolapse and need pushing back, or stay outside, I do not use the laser: it would mean an extensive burn and a high chance of recurrence. In these cases we discuss hemorrhoidectomy, the removal of the altered nodes, under general anaesthesia.
Thrombosed hemorrhoid
A clot in an external vein causes a sudden, tense, bluish lump and sharp pain. In the first days the clot can often be removed under local anaesthesia; later, or if the swelling is large, treatment is usually with medicines until it settles. Either way, it is worth being examined soon rather than waiting.
Not sure which option fits your case?
Send me a few lines about your symptoms in English, and we will agree on a time for the examination.
There are contraindications; a specialist consultation is required.
Recovery at home
You go home with written instructions covering stool softening, hygiene after each bowel movement, pain medicines, physical activity and the warning signs that need a call. Typical milestones:
- days 1–3: rest at home and limited activity;
- around day 10: return to desk work;
- around week 3: sport and heavy lifting;
- weeks 4–6: full healing.
Follow-up examinations are weekly for the first two visits, then every two weeks until healing is complete. The surgeon who operated is the one who sees you at each of them.
Cost
Consultation in Moscow — 4 500 ₽
Includes the examination and anoscopy if needed. Surgery costs are on the price page (in Russian); the final estimate is given after the examination.
Videos
Three short videos from my YouTube channel, chosen for patients who are considering treatment.
A patient explains why he kept postponing treatment and how laser surgery and recovery went for him. Every case is different, and results are individual.
The English voice-over is an automatic AI translation — it is not Dr. Tatarinov speaking English. To hear the original Russian audio, open the player settings (⚙) and choose Audio track.
Practical advice for the first ten days after surgery: stool, hygiene, pain relief and warning signs.
The English voice-over is an automatic AI translation — it is not Dr. Tatarinov speaking English. To hear the original Russian audio, open the player settings (⚙) and choose Audio track.
How symptoms and the grade of the disease help decide between conservative care and an operation.
The English voice-over is an automatic AI translation — it is not Dr. Tatarinov speaking English. To hear the original Russian audio, open the player settings (⚙) and choose Audio track.
Call an ambulance (103 or 112) if you have
- bleeding that does not stop, with weakness or dizziness;
- rising pain with fever;
- a lump that has become hard, dark and very painful, or you cannot pass urine.
Frequently asked questions
Is laser treatment suitable for every grade of hemorrhoids?
No. I use laser hemorrhoidoplasty for grade 1–2 hemorrhoids when conservative care has not helped. For grade 3–4 the laser is not used; a different operation, usually hemorrhoidectomy, is discussed after the examination.
What anaesthesia is used for LHP, and how long will I stay in the clinic?
The procedure is done under general anaesthesia. Patients usually stay in the clinic for up to one day and then continue recovery at home.
How long does recovery take?
As a guide: limited activity for the first 3 days, return to office work after about 10 days, sport after about 3 weeks and full healing in 4–6 weeks. Timing is individual and is confirmed at follow-up visits.
Can I travel or fly after surgery?
Plan your trips around the follow-up visits: the first two are weekly, then every two weeks until the wound has healed. Tell me your travel dates at the consultation so we can choose a suitable date for surgery.
What should I do about a sudden painful lump at the anus?
This is often a thrombosed hemorrhoid. Come for an examination within the next few days. Depending on what I find, it is treated with medicines or by removing the clot under local anaesthesia, sometimes at the same visit.
How do I book, and how much is the first visit?
Send a message in English on WhatsApp or Telegram to +7 926 446-57-79; I reply personally. The first visit in Moscow is 4 500 ₽, including anoscopy if needed. Dr. Tatarinov's English is basic; a consultation in English is possible.
Do you accept insurance, foreign cards, or provide documents in English?
Please ask Dr. Tatarinov in the messenger; the answer depends on the clinic and your situation.
Seen by: Konstantin E. Tatarinov, colorectal surgeon, at H-Clinic (6A bld. 1, 8 Marta St.) and MedEx (34/14 bld. 7, Kutuzovsky Ave.) in Moscow. More about the doctor and the consultation.
Related pages in English
Book an examination
Message Dr. Tatarinov directly on WhatsApp or Telegram in English — he replies personally.
If messengers do not work for you, phone +7 926 446-57-79.
There are contraindications; a specialist consultation is required.
The information on this page is for reference only and does not replace an in-person consultation with a doctor. There are contraindications; a specialist consultation is required.