The Rafaelo® Procedure

A revolutionary, safe and reliable new treatment for haemorrhoids removal with lasting results available in London & Birmingham

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Medically reviewed by Lorcan Sheppard BSc MBBS FRCA, Chief Medical Officer and the Medical Advisory Committee for The Private Clinic.
Last Reviewed January 7th 2022

The Rafaelo® procedure, also known as Radio Frequency Ablation of Haemorrhoids under Local Anaesthetic is a surgical procedure that treats internal haemorrhoids using radiofrequency ablation.

Radiofrequency ablation is commonly used in the medical field and is already an established treatment for varicose veins.

Haemorroids treatment

Haemorrhoids or piles are swollen veins that occur inside and around your bottom. In most cases, haemorrhoids will clear up on their own after a few days, often with over-the-counter creams to help with any discomfort. For haemorrhoids that don’t seem to be getting better, treatment may be required to help reduce discomfort and clear the haemorrhoids from the area.

Rafaelo® treatment is best for haemorrhoids that have been graded 1-3. The treatments aims to reduce or remove the internal haemorrhoids which will help treat the symptoms such as pain, bleeding and discomfort.

Rafaelo® consultations and treatment appointments are available to book at our discreet clinics in Birmingham and London Harley Street.

“Piles surgery has traditionally been a painful and highly morbid operation. However, Rafaelo® has turned this on its head. The immediate advantage is the ability to avoid a general anaesthetic which allows the patient to effectively walk in and walk out of the clinic following treatment. My own patients have had very little in the way of discomfort and initial follow-up results are very pleasing both from a clinical response to treatment and from patient feedback”.  – Mr Amit Patel, Consultant Laparoscopic General and Colorectal Surgeon, BSc, MD, MBBS, FRCS (Plast.) GMC Number: 4737010

Rafelo® is our first choice of treatment when it comes to treating haemorrhoids. We have a team of expert Colorectal Surgeons who have been performing the procedure regularly and are confident with helping you to achieve the best results.

The revolutionary Rafaelo® treatment is a safe and effective treatment for haemorrhoids or piles removal with lasting results as seen in The Daily Mail.

Procedure Time
15 mins

Anaesthetic Type
Local anaesthetic

Hospital Stay
None, daycase

Support Garment



1 Day

Up & Mobile

Sexual Activity
1 – 7 days

Back to Work
1 – 2 days

1 – 7 days

1 – 2 weeks

Recovery Time
1 – 2 weeks

Final Results
1 – 2 weeks

Why choose The Private Clinic for Haemorrhoid removal treatment?

  • 15 Minute walk in walk out procedure.
  • Initial consultation over the phone with the Consultant surgeon.
  • Performed under local anaesthetic.
  • Almost painless procedure.
  • Symptoms instantly reduced.
  • Minimal post-operative pain and aftercare.
  • Able to return to daily activities immediately.
  • Minimal chance of recurrence.
  • No overnight stay.
  • Treatment carried out in our discreet Birmingham or London Private clinics with no need to travel to a hospital.
  • 24 hour patient helpline direct to your nursing team and surgeon, which means should you have any concern we are here to help.
  • Dedicated post-operative care and appointments with your surgeon and nursing team. We are here to give you the best experience.
  • The Private Clinic unique comprehensive Patient Guide on Haemorrhoids.
  • Our excellent reputation for patient safety and satisfaction, honest advice and outstanding care means your journey with The Private Clinic will be an exciting experience to a newfound confidence. 
as seen in
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the telegraph
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What to Expect

Rafaelo Haemorroids Removal Treatment

What is Rafaelo® treatment?

The Rafaelo® procedure is a safe and effective treatment for internal haemorrhoids removal. The treatment uses well established radio frequency technology that is used in the treatment of varicose veins.

The consultant will inject the base of the haemorrhoid with local anaesthetic via an anoscope. Once numb a metal probe will be inserted into each haemorrhoid and radio frequency energy is applied to which reduces the blood flow to the area forcing it to shrink and eventually disappear. Once they disappear, a scar or mucous membrane will cover the old site of the haemorrhoid or piles.

The procedure and can be performed on all internal grade 1-3 haemorrhoids. Grade 4 haemorrhoids are usually external haemorrhoids at this stage and are not suitable for the Rafaelo® procedure due to the nervous system. If there is an internal part of a grade 4 haemorrhoid, the Rafaelo haemorrhoids removal procedure can be used to reduce and improve symptoms. If not suitable for the Rafaelo procedure, you may be offered a Haemorrhoidectomy procedure as an alternative.

The Rafaelo® procedure for treating haemorrhoids or piles is carried out under local anaesthetic to avoid any discomfort and patients are able to return home afterwards with minimal post-operative pain.


Rafaelo Haemorroids Aftercare

Rafaelo aftercare

Once the Rafaelo® procedure is over, you will be briefed again on your aftercare and often provided with painkillers to take home with you.

We usually suggest for the patient to allow 1-7 days to recover from the procedure and this will vary depending on the severity of the haemorrhoids. In the majority of cases however, patients have been able to return to work within 1-2 days following the procedure depending on their job role.

In order to achieve the best results, it is best to stick to a fit and healthy lifestyle post procedure and avoid becoming constipated by eating plenty of fibre, fruit and vegetables and staying hydrated.  

Patients will be given a follow-up appointment with their surgeon around 6-8 weeks after the procedure to discuss the results from the treatment.


Finance available


Why would you choose the Rafaelo® over other alternative treatments?

Rafaelo® is our first choice of Haemorrhoid procedure due to its minimally invasive technique and minimal downtime and post-operative pain.

Banding is a common technique used for treating grade 1-2 haemorrhoids. The technique involves attaching a small elastic band around the base of the haemorrhoid which reduces the blood supply resulting in it falling away after a week or so.  The application of these bands can be very painful and recurrence rates are high so it is likely you will need further treatment.

The Rafaelo® procedure is carried out under local anaesthetic as a walk in walk out procedure. There is no downtime and you will be able to return to daily activities immediately with minimal post-operative pain.

Where Rafaelo® is not suitable, we will endeavour to offer an alternative treatment that we feel is going to give you the best results.

How long does the Rafaelo® treatment take?

The Rafaelo® procedure takes 15 minutes to perform.

Does the Rafaelo® treatment hurt?

Slight discomfort may be felt during the first part of Rafaelo treatment when the local anaesthetic is injected. This is a sharp scratch but once it takes effect, no pain should be felt during the treatment. If required, mild sedative may be available to help you relax.

What are the risks of Rafaelo® procedure?

All treatments and procedures have risks and these will be discussed with you in detail during your consultation. The potential risks or side effects of the Rafaelo® procedure includes some possible discomfort after the procedure, small amount of discharge, recurrence of symptoms, infection of the treatment area and minor bleeding within the first couple of weeks post-procedure.

What is the Rafaelo® procedure?

Rafaelo treatment is a minimally invasive procedure for internal haemorrhoids that uses radio frequency technology to significantly reduce or remove haemorrhoids. A similar version of this technology that was used to treat varicose veins was modified to be suitable for haemorrhoids. The treatment involves inserting a specialised needle probe into the haemorrhoidal cushion where radio frequency energy is then applied with the aim of restricting blood supply which causes the haemorrhoid to necrose and fall away from the area which results in a relief from symptoms.

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