The Rafaelo® procedure is a minimally invasive treatment for haemorrhoids that uses radiofrequency energy to shrink the affected tissue, without cutting or removing it. It is performed as a day case and is often chosen by patients who want an effective option with a faster return to normal activity than traditional surgery.
What is the Rafaelo® procedure?
Rafaelo (Radiofrequency Ablation of Haemorrhoids) delivers controlled radiofrequency energy directly to the haemorrhoidal tissue, causing it to shrink over the following weeks. Unlike surgical removal, there’s no cutting, stitching or an open wound, which is why recovery tends to be quicker and more comfortable.
Who it is suitable for
- Patients with grade II–III haemorrhoids not settling with lifestyle measures
- Those who want to avoid traditional surgical haemorrhoidectomy where possible
- Patients looking for a quicker return to work and normal activity
- Anyone wanting a minimally invasive option after banding hasn't fully resolved symptoms
Suitability is confirmed at consultation, not every haemorrhoid grade or presentation is suited to Rafaelo®, and Mr Kimble will advise honestly if another option is more appropriate.
Your treatment options
Rafaelo® isn’t one-size-fits-all, how it is used depends on how many haemorrhoids you have and their grade.
For one haemorrhoid, a single Rafaelo® treatment is often enough, completed in one short session.
Several haemorrhoids can typically be treated with Rafaelo® in the same visit, rather than needing separate appointments.
For a mix of haemorrhoid grades, Rafaelo® and rubber band ligation can be used together in the same treatment plan.
If Rafaelo® doesn’t fully resolve symptoms, day-case THD® or haemorrhoidectomy remains available as the next step, explained fully before you decide.
While haemorrhoids are usually harmless, any bleeding from the back passage should be checked by a specialist to rule out other causes. Booking an assessment gives you peace of mind.
Recovery, honestly
Rafaelo® is one of the more comfortable options on the haemorrhoid treatment pathway. Most patients describe mild aching rather than significant pain, manageable with simple analgesia. Full resolution of the haemorrhoid tissue happens gradually over several weeks, so it’s normal not to see an immediate change.
