Piles to Smiles

More than 50% population suffers from piles (or haemorrhoids) despite of the reality that effective prevention and treatment options are available. I am reminded of my sojourn through solitude in Dublin, Ireland, where I went to receive the honorary FRCS from Royal College of Surgeons Ireland. I was spending my time in Ireland in revising treatment policies in Piles when I went through memorable quote "Had it not been due to painful thrombosed piles, Napoleon would have not lost the War." Read more


I realized the true significance of this very common problem, which people hide till it becomes serious or they have already surrendered to some quackery and land up in serious complications. I focussed my attention and started performing Operations on Piles under triple block local anaesthesia and started gaining popularity. During over 35 years I have seen ghastly complications created by wrong and unqualified interventions on one hand the serious mortal scare on faces of my patients on the other.

Then I got the answer for humanity. I learned the technique of Infra red photo coagulation and later Doppler guided Haemorrhoidal arterial Ligation (DGHAL) and Recto Anal Repair (RAR) from world leader in Piles suregery - Professor Langmyer in Vienna, Austria. This is amazing, it is almost painless, done under local anaesthesia, needs hardly any hospitalization, is a day care procedure and has least complications and recurrence. This is not an operative procedure and is an endoscopic procedure suitable for all grades of Piles. Today after operating more than 500 cases of piles by DGHAL/ RAR, the treatment success rate and the way it reduces human suffering due to piles, is indeed a landmark.

I also realized that there are innumerable myths, fears and misunderstandings about piles and its treatment. People surrender to quakes because they cheat and claim cures without surgery. We were motivated to write a book in simple English, Hindi and also Urdu, so that our people may be treated safely and painlessly by the latest technique in world (the book Piles to Smiles was released in March 2010). The purpose of this book is to remove the myths regarding the causative factors and management of piles and to enhance awareness among patients and treating physicians about new modalities of treatment.

So now don’t be tense and SMILE WITH PILES, as treatment options like DGHAL and RAR are possible, and a reality in Lucknow since years now.

Prof (Dr) Rama Kant
(The author is the Managing Director of Piles to Smiles Clinics at C-block crossing, Indira Nagar and SIPS Hospital Chowk, and a former Head, Surgery Dept, CSMMU. He was the first Surgeon to be conferred upon the World Health Organization (WHO) Director-General’s Award (2005) and then also was conferred upon honorary FRCS by the Royal College of Surgeons of Ireland. Email: ramakant@ramakant.org, website: www.ramakant.org) 

Piles to Smiles Clinic: Treating piles without surgery

Piles to Smiles book launched

Treating Piles without surgery is a reality now. With latest techniques and competent well-trained staff, getting relief from haemorrhoids (or piles) without surgical incision is a possibility. Patient's hospital stay is very brief, and clinical outcome outstanding. Noted Lucknow Surgeon Professor (Dr) Rama Kant who is a faculty at the forthcoming XII Annual Conference of Association of Surgeons of India (ASI), Haryana Chapter, and Northern Region CME of ASI in Post Graduate Institute of Medical Sciences, Rohtak, Haryana, will also deliver a guest lecture on managing haemorrhoids (piles) without surgery by DGHAL/RAR technique. Read more


"It is surprising that piles or haemorrhoids have not been high up on the public health agenda despite of the incredibly high prevalence and practical approaches to prevent or manage them" said Prof (Dr) Rama Kant who is currently the Managing Director of “PILES TO SMILES” Clinics which runs at two centres presently: (i) Rama Consultations and Training Centre, C-2211, C-Block Crossing, Indira Nagar, Lucknow, and (ii) SIPS Hospital, Shahmeena Road, Chowk, Lucknow. Prof (Dr) Rama Kant is the Professor-Director at SIPS Hospital, Chowk. He is the former Head of Surgery Dept, CSMMU (erst KGMC) and former Chief Medical Superintendent of Gandhi Memorial & Associated Hospitals, CSMMU.

"According to varying estimates 50-85% of the world’s population suffers from piles or haemorrhoids at some stage in their lives, especially the risk to develop piles alarmingly increases between 50-70 years of age" informed Prof (Dr) Rama Kant, who is the current President of Association of Surgeons of India, UP Chapter (2009-2010) and is the ASI governing council member (2010-2012).

"This guest lecture in PGI Rohtak will feature a unique non-surgical technique for the management of Piles like Doppler-guided haemorrhoidal artery ligation (DGHAL) and Recto-Anal Repair (RAR). The beauty of this procedure lies in the fact that the patient is discharged within a few hours and is back to work, the very next day" said Prof (Dr) Rama Kant, who is also a recipient of World Health Organization (WHO) Director General's Award in 2005 and lead author of the book 'PILES TO SMILES'.

"There are known lifestyle and dietary factors that aggravate the risk to piles significantly" added Prof (Dr) Rama Kant.

Piles are swellings that develop from the tissues that line the anal canal or back passage. The tissue of the anal canal is rich in blood vessels. If these vessels become dilated and swollen, they may project into the anal canal or out of the back passage (known as a prolapse) to form visible swellings.

Piles tend to be caused by factors that cause the blood vessels to swell, including anything that increases pressure inside the abdomen such as constipation, pregnancy or being overweight. Prevalence of piles is higher in pregnant women than in non-pregnant women of the same age group.

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"Piles To Smiles" book released at 3rd LCS Convocation

“Piles To Smiles” book was released at the 3rd Convocation of Lucknow College of Surgeons (LCS) by Prof (Dr) Saroj Chooramani Gopal, Vice Chancellor of Chhatrapati Shahuji Maharaj Medical University (CSMMU – upgraded King George’s Medical College – KGMC). Dr Dinesh Sharma, Mayor of Lucknow was the Chief Guest. Read more

“Piles To Smiles” is co-authored by a team led by Professor (Dr) Rama Kant, President of LCS and Professor and Head, Department of Surgery at CSMMU. Dr Suresh Kumar and Dr Arshad Ahmad, faculty members in Department of Surgery at CSMMU, Dr Pooja Ramakant, Senior Resident, Department of Endocrine Surgery, Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS) and Bobby Ramakant, health activist and CNS writer are co-authors of this book “Piles To Smiles”.

“It is surprising that piles or haemorrhoids have not been high up on the public health agenda despite of the incredibly high prevalence and practical approaches to prevent or manage them. According to varying estimates 50-85% of the world’s population suffers from piles or haemorrhoids at some stage in their lives, especially the risk to develop piles alarmingly increases between 50-70 years of age” said Professor (Dr) Rama Kant, who is also a recipient of World Health Organization (WHO) Director General’s Award in 2005 and lead author of this book.

“This book also features a unique non-surgical technique for the management of Piles like Doppler-guided haemorrhoidal artery ligation (DGHAL) and Recto-Anal Repair (RAR). The beauty of this procedure lies in the fact that the patient is discharged within a few hours and is back to work, the very next day” said Prof (Dr) Rama Kant.

“There are known lifestyle and dietary factors that aggravate the risk to piles significantly” added Prof Rama Kant.

Piles are swellings that develop from the tissues that line the anal canal or back passage. The tissue of the anal canal is rich in blood vessels. If these vessels become dilated and swollen, they may project into the anal canal or out of the back passage (known as a prolapse) to form visible swellings.

Piles tend to be caused by factors that cause the blood vessels to swell, including anything that increases pressure inside the abdomen such as constipation, pregnancy or being overweight. Prevalence of piles is higher in pregnant women than in non-pregnant women of the same age group.

The Hindi version of this book “Smiles To Piles” will soon be released by CNS, said the authors.

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Malaysian surgeons to learn piles management from Prof Rama Kant

Malaysian surgeons to learn piles management from Prof Rama Kant
[To read this post in Hindi language, click here]

The Department of Surgery, University of Malaya Medical Centre (UMMC) in Kuala Lumpur, Malaysia has invited noted Surgeon Professor (Dr) Rama Kant, Head of Surgery Department at Chhattrapati Shahuji Maharaj Medical University (CSMMU) to deliver a talk on haemorrhoids (piles).

CSMMU surgeons have been doing pioneering work in management of piles or haemorrhoids by DGHAL and RAR techniques.

Professor (Dr) Rama Kant shall be delivering a guest lecture in Malaysia on “Revolution in management of haemorrhoids by DGHAL and RAR – can it write off surgery?” Established in 1965, University Malaya Medical Centre (UMMC) is the premier teaching hospital in nation's capital of Kuala Lumpur, Malaysia.

“It is surprising that piles or haemorrhoids have not been high up on the public health agenda despite of the incredibly high prevalence and practical approaches to prevent or manage them. According to varying estimates 50-85% of the world’s population suffers from piles or haemorrhoids at some stage in their lives, especially the risk to develop piles alarmingly increases between 50-70 years of age” said Professor (Dr) Rama Kant, who is also a recipient of World Health Organization (WHO) Director General’s Award in 2005.

Prof Rama Kant was elected as President of Association of Surgeons of India (ASI), UP and also chairs the Lucknow College of Surgeons (LCS).

“There are known lifestyle and dietary factors that aggravate the risk to piles significantly” said Prof Kant.

Piles are swellings that develop from the tissues that line the anal canal or back passage. The tissue of the anal canal is rich in blood vessels. If these vessels become dilated and swollen, they may project into the anal canal or out of the back passage (known as a prolapse) to form visible swellings.

Piles tend to be caused by factors that cause the blood vessels to swell, including anything that increases pressure inside the abdomen such as constipation, pregnancy or being overweight. Prevalence of piles is higher in pregnant women than in non-pregnant women of the same age group.

Malaysian surgeons to learn piles management from Prof Rama Kant

Malaysian surgeons to learn piles management from Prof Rama Kant
[To read this post in Hindi language, click here]

The Department of Surgery, University of Malaya Medical Centre (UMMC) in Kuala Lumpur, Malaysia has invited noted Surgeon Professor (Dr) Rama Kant, Head of Surgery Department at Chhattrapati Shahuji Maharaj Medical University (CSMMU) to deliver a talk on haemorrhoids (piles).

CSMMU surgeons have been doing pioneering work in management of piles or haemorrhoids by DGHAL and RAR techniques.

Professor (Dr) Rama Kant shall be delivering a guest lecture in Malaysia on “Revolution in management of haemorrhoids by DGHAL and RAR – can it write off surgery?” Established in 1965, University Malaya Medical Centre (UMMC) is the premier teaching hospital in nation's capital of Kuala Lumpur, Malaysia.

“It is surprising that piles or haemorrhoids have not been high up on the public health agenda despite of the incredibly high prevalence and practical approaches to prevent or manage them. According to varying estimates 50-85% of the world’s population suffers from piles or haemorrhoids at some stage in their lives, especially the risk to develop piles alarmingly increases between 50-70 years of age” said Professor (Dr) Rama Kant, who is also a recipient of World Health Organization (WHO) Director General’s Award in 2005.

Prof Rama Kant was elected as President of Association of Surgeons of India (ASI), UP and also chairs the Lucknow College of Surgeons (LCS).

“There are known lifestyle and dietary factors that aggravate the risk to piles significantly” said Prof Kant.

Piles are swellings that develop from the tissues that line the anal canal or back passage. The tissue of the anal canal is rich in blood vessels. If these vessels become dilated and swollen, they may project into the anal canal or out of the back passage (known as a prolapse) to form visible swellings.

Piles tend to be caused by factors that cause the blood vessels to swell, including anything that increases pressure inside the abdomen such as constipation, pregnancy or being overweight. Prevalence of piles is higher in pregnant women than in non-pregnant women of the same age group.