It is easy and there is no harm doing it on ambulatory basis. Post-operative antibiotics are quite helpful if large quantities are injected, or such reductions are carried out. It is safest way to add 'haemorrhoidectomy' of one or more piles on 'stretching and sclerosant' procedure. Fissure in ano often accompanies piles and is adequately treated with stretching which frees the adherent edges from the underlying muscle and rarely needs freshening. The muscle is also freed and with tight fibres torn, functions better.
Pain goes away because of relaxed and free muscle.
Fissures heal quickly. Mucosal prolapse in elderly people with lax anus is not treated as piles. Patients with this local and minimal general anaesthesia can be discharged within an hour after a lot refreshing drink. Postoperatively antibiotics, analgesics, bulk laxatives, local anaesthetic ointments are prescribed as required for a few days. Nominal bleeding settles on its own or with haemostatics i.e. ethamsylate.