What is the treatment of Piles?

In the initial stages, a lot of treatment options are available such as high fibre diet, Banding[place small rubber bands around the hemorrhoids to cut off the blood supply], Sclerothrapy [inject the hemorrhoids with a drug that drastically shrinks them], Cryotherapy[the hemorrhoid is essentially frozen off], Infra-red coagulation or laser[the hemorrhoid is burned off, cauterizing the ends] etc. These modalities provide good relief in initial stages but do not help much in the later stages of the disease. In advanced stage, only Surgery provides long lasting relief. Now Stapler method of treatment has revolutionized the surgical treatment of piles.