
Dr Rick Shacket is a board-certified specialist, certified by the American Osteopathic Board of Proctology and the American Board of Laser Surgery. With 39 years of experience in laser surgery and well over 10,000 patients treated with laser, Dr. Shacket is the most experienced and qualified laser surgeon practicing anal-rectal surgery in Arizona, if not the entire United States of America.

Skilled surgeons use laser light with pinpoint accuracy. The unwanted hemorrhoid is vaporized or excised. The infinitely small laser beam allows for unequaled precision and accuracy, and usually rapid, unimpeded healing. The result is less discomfort, less medication, and faster healing. A hospital stay is generally not required. The laser is inherently therapeutic, sealing off nerves and tiny blood vessels with an invisible light. By sealing superficial nerve endings, patients experience minimal postoperative discomfort. By closing tiny blood vessels, your proctologist can operate in a controlled, bloodless environment. Procedures can often be completed more quickly and with less difficulty for both patient and physician.
A laser beam can simultaneously vaporize larger hemorrhoids and photocoagulate smaller hemorrhoids, reducing the need for a more extensive or complex surgery. A laser can be used alone or in combination with other modalities.
Animation of laser surgery (with comparison of hemorrhoid grades 1 to 4 on a live patient) [2:00].

Photocoagulation is a painless medical procedure used to treat internal hemorrhoids that uses a laser to create microscopic burns to seal off abnormal blood vessels or tissue. Skilled surgeons can use the carbon dioxide (CO2) laser's invisible infrared light to painlessly induce heat-driven coagulation at a specific spot in tissue. By spot-welding hemorrhoidal tissue into place, laser-like welded hyper-attachments can prevent hemorrhoids from sagging downward and protruding outside the rectum. External hemorrhoids can be cosmetically reshaped with laser vaporization for a more pleasant look and feel and to make bottom hygiene easier. With a laser, there can be less pain, less bleeding, and a faster recovery.

Glide into post-surgical recovery. The first days after surgery are often the toughest, with pain and discomfort at their peak. That’s where Exparel® helps. It's a one-time, non-opioid injection given by your doctor during surgery. Helps block pain right at the surgical site, providing relief where it’s needed most. It can provide long-lasting relief and keep pain under control for up to 4 of the toughest days post-surgery. Help you focus on healing, with less need for other medications, such as opioids.