If Hemorrhoids are large and prolapsing stapler is preferred or a combination technique can used for external hemorrhoids radio frequency and laser both are equally effective even just ligation with kharsutra or hair is helpful but more important is to treat spasm which is leading to reduced anal opening or anal stenosis . if we do not work on path of stool just removal of external hemorrhoids is no use it can form at another place by friction and straining.

Dr Ashish Bhanot is the best doctor for Piles treatment. 

Consult him online: https://drashishbhanot.com