The Problem

Although haemorrhoids are actually very common and their symptoms do often disappear on their own after a few days, there are cases where symptoms such as soreness and bleeding can become severe and unfortunately don’t go away. In these cases haemorrhoid removal treatment is needed to treat them.

New Treatment for Piles/ Haemorrhoids

Haemorrhoids or piles are vascular structures in the anus. When these structures become swollen they can cause a huge amount of discomfort with symptoms including, but not limited too; itchiness, bleeding and soreness.

There are 4 clinical grades of Haemorrhoids.

  • 1st Degree – No prolapse, just prominent blood vessels. At this stage you may not be feeling any pain but in some cases a mild discomfort and itching can be present.
  • 2nd Degree – Prolapse emerges with strain but spontaneously reduces and returns. You will most likely be experiencing pain and irritation at this stage.
  • 3rd Degree – Prolapse emerges with strain and needs to be pushed back in. Haemorrhoids at this stage will be causing a high level of discomfort, pain and may also be bleeding too.
  • 4th Degree – Prolapse emerges and cannot be reduced or pushed in. At this stage you will be in a lot of pain and will be prone to bleeding.

They are very common with up to 50% of the population potentially suffering from symptomatic haemorrhoids at some point in their lives (source: Haemorrhoids: diagnosis and management. Am Surg 75 (8): 635–42). The root cause of haemorrhoids is down to increased pressure in the abdomen which can be the result of a variety of factors including chronic diarrhoea or constipation, pregnancy, obesity, low fibre diets and genetics.

“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

For many, the condition can be treated with over the counter treatments, GP prescribed medication or a change of diet but for many haemorrhoids can go on left untreated needing surgical treatment.

Traditionally surgical treatment is under general anaesthetic and is known to have a lengthy and painful recovery period lasting up to four-weeks.

The revolutionary Rafaelo® procedure is a safe and reliable new treatment for haemorrhoids removal with lasting results as seen in The Daily Mail.

Why choose The Private Clinic for Haemorrhoid removal treatment?

  • 15 Minute walk in walk out procedure.
  • 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 Harley Street and Birmingham 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. 

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The Problem

Although haemorrhoids are actually very common and their symptoms do often disappear on their own after a few days, there are cases where symptoms such as soreness and bleeding can become severe and unfortunately don’t go away. In these cases haemorrhoid removal treatment is needed to treat them.

The Haemorrhoids Removal 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. This is often enough and a good alternative rather than going through very painful surgery.

The haemorrhoid treatment is carried out under local anaesthetic to avoid any discomfort and patients are able to return home afterwards with minimal post-operative pain.


None. With the Rafaelo® haemorrhoid procedure you can get back to normal activities right away.


How do haemorrhoids develop?

Haemorrhoids develop when the veins around your anus are stretched under pressure resulting in them swelling. The swollen veins can develop for a wide range of reasons such as excessive straining during bowel movements and increased pressure due to pregnancy.

What are the symptoms of haemorrhoids?

Symptoms of haemorrhoids will vary from person to person but they can include;

  • Bleeding
  • Itching or irritation around your anal region
  • Swelling
  • Soreness or pain from your anus

How do I know if I am suitable for treatment?

There are 4 clinical grades of Haemorrhoids and the treatment is ideal for treating 1-3 but grade 4 may only be reduced and require further surgery. Your surgeon will be able to best advise you during a consultation.

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

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.

Other treatments include a surgical haemorrhoidectomy which is when the haemorrhoids are cut out under general anaesthetic. Patients have been known to experience significant pain after the operation which will last for a few weeks after the procedure and you will need to take a week or two off work to recover.

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.

How long does the Rafaelo® treatment take?

The Rafaelo® procedure takes 15 minutes to perform.

Does the Rafaelo® treatment hurt?

There may be some slight discomfort and a sharp scratch when the local anaesthetic is injected but once that takes effect there should be no pain.

If required, you will be given a mild sedative to help you relax.

Is the Rafaelo procedure a laser?

No the Rafaelo procedure is not a laser, it uses radio frequency energy which reduces the blood flow to the area forcing the haemorrhoid to shrink and eventually disappear.

What is the recovery time?

You should notice your symptoms improving almost immediately.  The recovery time from the procedure normally takes between one to seven days, but is generally less. This depends on the severity of the haemorrhoids. You will be seen again in clinic between 6 and 8 weeks after the procedure.

Will I need to take time off work after the procedure?

Most patients are able to return to their daily activities once the procedure is done, but depending on the grade of the haemorrhoids you may wish to have a day or two of rest.

What does the aftercare involve?

You will be given painkillers to take home with you after the procedure.

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.

How can I prevent haemorrhoids?

Ensure you have plenty high-fibre foods as part of your diet, drink plenty of water or similar fluids, always go to the toilet when you need to, avoid excessive pushing or straining when passing a stool, take part in regular exercise, avoid sitting for extended periods and ask your GP about fibre supplements if required.

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We are the UK’s leading cosmetic group and have some of the most experienced surgeons in the country working with us.

Mr Amit Patel joins us at our Birmingham Haemorrhoid clinic to also offer the Rafaelo® haemorrhoid Removal Procedure. Mr Patel undertook the first cohort of Rafaelo® patients in the West Midlands and is extremely excited about being able to offer this revolutionary state of the art technology for the management of haemorrhoids and is very confident that over time this will become a gold standard technique.

Hemorrhoids Removal Treatment Cost

The Rafaelo® haemorrhoid removal procedure prices start from £1980.

A consultation in our Haemorrhoid Clinic with our specialist Surgeon is the best place to determine if the Rafaelo® procedure is the most appropriate treatment for you. A consultation with our surgeon costs £200.

Consultations with a surgeon are available at our clinic in Birmingham.

We also offer consultations with our highly experienced Patient Coordinators which require a £25 refundable deposit to secure your place.

Patient coordinators are able to offer you all the information you require prior to meeting a surgeon.

The Treatment


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