The Rafaelo Procedure is a minimally invasive treatment for internal haemorrhoids that uses radio-frequency ablation technology under local anaesthetic. The technique involves inserting a special probe into the haemorrhoidal tissue and applying radio-frequency energy to reduce blood flow, causing the haemorrhoid to shrink and eventually disappear. The treatment is described as a “walk-in, walk-out” procedure with much lower pain and quicker recovery than traditional haemorrhoidectomy.
Who are the best candidates?
Who are the best candidates?
The best candidates for the Rafaelo Procedure are patients with symptomatic internal haemorrhoids—particularly those graded I to III—who have not achieved symptom relief with conservative measures. It may also be applied in select cases of grade IV haemorrhoids where the internal component remains treatable, although the external component may still require further surgery. Patients should be medically fit for outpatient procedure under local anaesthetic and able to comply with post-treatment advice.
Treatment Details
Treatment Details
The procedure typically takes about 15 to 20 minutes and is conducted in a day-case/outpatient setting. Under local anaesthetic, a proctoscope or similar instrument is inserted into the anal canal, the area is anaesthetised, and the radio-frequency probe is introduced into the haemorrhoidal cushion. The probe delivers controlled heat energy that coagulates vessels supplying the haemorrhoid and causes shrinkage of the tissue.
Anaesthetic Details
The Rafaelo Procedure is mostly performed under local anaesthesia alone, enabling patients to remain awake and typically return home the same day. In some cases, a mild sedative may be added for patient comfort, and very rarely a general anaesthetic might be chosen based on patient or surgeon preference.
Number of treatment Sessions
In the majority of cases, the Rafaelo Procedure is designed to be a single-session treatment, with one 15-minute session being sufficient for most internal haemorrhoids. If required (for larger or more complex haemorrhoids), a further session may be considered.
Pain Level
Post-procedure pain is reported to be very low. In one UK cohort study median pain score was 2.5 out of 10, with only about a third of patients needing postoperative analgesia. The minimally invasive nature of the technique and use of local anaesthetic contribute to the low discomfort profile.
Price Range
At The Whiteley Clinic, the cost of the Rafaelo Procedure starts from £2,600, which includes the treatment itself and a follow-up appointment. This fee reflects the expertise of our specialist colorectal surgeons and the use of advanced radiofrequency technology in a modern outpatient setting.
Financial Aids
At present, The Whiteley Clinic does not offer dedicated finance or instalment plans for the Rafaelo Procedure. Payment is required prior to treatment. However, patients are welcome to discuss flexible scheduling or use their private medical insurance, where applicable.
Recovery Time & Aftercare
Recovery Time & Aftercare
The Rafaelo Procedure is a walk-in, walk-out treatment that usually takes around 15 minutes. As it is performed under local anaesthetic, patients can return home the same day and resume normal daily activities almost immediately. Aftercare is minimal, with only mild discomfort expected for a short period. A follow-up appointment is included to ensure optimal healing and results.
Potential side effects and risks
Potential side effects and risks
As with any medical procedure, there are potential risks and side effects, though these are rare and generally mild. Some patients may experience minor bleeding, discharge, or a feeling of discomfort for a few days. In uncommon cases, infection, ulceration, or anal fissure may occur. All procedures are performed by experienced colorectal specialists to minimise these risks and ensure patient safety.
Clinical Success Rate
Clinical Success Rate
The Rafaelo Procedure has successfully treated thousands of patients worldwide, achieving excellent long-term results and a very low recurrence rate. It offers an effective alternative to traditional haemorrhoidectomy, providing symptom relief with minimal pain and downtime.
Recurrence Rate after 5 years
Recurrence Rate after 5 years
Long-term data indicate a low likelihood of recurrence following the Rafaelo Procedure when aftercare advice is followed. Individual outcomes may vary depending on lifestyle and the severity of the original condition.
The Whiteley Clinic Locations
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Contact Detail
Contact Detail
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