Kashar Sutra treatment for piles is offered for ladies by Dr Sarita Patil. We are based in PCMC and have many other centres in Pune. For booking an appointment at Vithai PilesTreatment Centre, please visit our website http://www.ladypilesdoctorpune.com/. An anal fissure is often confused with piles because they both have similar symptoms. However, we provide diagnosis and treatment for both through Kashar Sutra. Kshar sutra is a 95 % efficient treatment. This is a very good percentage. The procedure is usually performed under local anaesthesia and is almost painless.