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

Read Dr Nick West’s comments on Haemorrhoids during pregnancy here.

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?

What are the symptoms of haemorrhoids?

How do I know if I am suitable for treatment?

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

How long does the Rafaelo® treatment take?

Does the Rafaelo® treatment hurt?

Is the Rafaelo procedure a laser?

What is the recovery time?

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

What does the aftercare involve?

What are the risks of Rafaelo® procedure?

How can I prevent haemorrhoids?

Our Experts

Read about them

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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. Consultant general and colorectal surgeon, Mr Nicholas West joins us at our London Harley Street Haemorrhoid clinic to offer the Rafaelo® haemorrhoid Removal Procedure. In March 2016 Mr West performed the first Rafaelo® procedure in the UK and has conducted numerous procedures since and can report all as resounding successes.

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 £250.

Consultations with a surgeon are available at London Harley Street and Birmingham.

Free consultations are available with patient advisers at our clinics across the UK in Birmingham, Bristol, Glasgow, Leeds, London Harley Street, Manchester, Northampton and Buckinghamshire

The Treatment


Expert Medical Team

Our Experts

Read about them

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