RESUMEN
This study included 90 patients [34 males and 56 females], their ages ranged from 18 to 50 years [with a mean age of 37 years] and were selected from patients complaining of hemorrhoids examined with first degree piles [46 patients] and second degree piles [44 patients]. All of them were subjected to full history, clinical examination and investigation in the form of laboratory study and anoscope. They were classified into three groups: In group A [n = 30], 19 with first degree piles and 11 with second degree piles whom were treated by laser coagulation. Their results were satisfactory in 26 patients [19 patients with first degree and 7 patients with second degree piles]. In group B [n = 30], 9 patients with first degree and 21 with second degree piles. The results showed that non-surgical treatment of hemorrhoids was simple and safe. The optimal method depends upon the degree of piles. As regards first degree hemorrhoids, laser coagulation was the optimal method, followed by sclerotherapy, while for the second degree, the method of choice was rubber b and s ligation of hemorrhoids