Scroll down for the most frequently asked questions about haemorrhoids (piles) and The Rafaelo Procedure

Haemorrhoids or Piles

Top 10 Questions about haemorrhoids or piles

What are haemorrhoids or piles?

Haemorrhoids, also known as piles are swollen vascular cushions (blood vessels) around or just inside the anal canal (back passage) and can be internal or external of the body.

What are internal haemorrhoids?

Internal haemorrhoids are covered by the mucosal lining of the rectum, and often remain on the inside (Grade 1).

What are external haemorrhoids?

External haemorrhoids, also known as Grade 4 haemorrhoids are permanently on the outside of the anus, with a layer of skin over it. If a blood clot forms within a haemorrhoid, it will cause it to harden, can be very painful and is referred to as a ‘thrombosed’ pile.

What is the difference between internal vs external Haemorrhoids

Internal haemorrhoids remain on the inside of the rectum, or, if prolapsed, returns back into the rectum. External haemorrhoids is where the hamorrhoids remain outside of the rectum.

What are the causes of haemorrhoids?

Haemorrhoids are naturally occurring haemorrhodial cushions. Obesity, pregnancy and childbirth, constipation, straining and lifting heavy objects can cause haemorrhoids to be inflammed.

What are the symptoms of haemorrhoids?

The main symptons of haemorrhoids are bleeding, itching, soreness, discomfort, discharge and prolapse.

What changes can I make to my diet to help with haemorrhoids?

Your doctor would recommend you change your diet to help with haemorrhoids, including drinking more fluids and increasing the amount of fibre you ingest to help soften faeces.

What can I do at home to help with haemorrhoids?

To help with reducing haemorrhoids at home, cut down on low fibre-containing foods, such as white bread, diary, some meat and processed foods.

What is banding?

Banding is a surgery which involves shooting an elastic band around the inflamed haemorrhoidial cushion, in order to strangulate the haemorrhoid and removed its blood supply. It is usually performed under anaesthetic.

What is a haemorrhoidectomy?

An haemorrhoidectomy is performed for Grade 4 haemorrhoids under anaesthetic. The surgery involves the cutting or stapling of the hameorrhoids to remove them.

The Rafaelo Procedure

The most popular frequently asked questions about The Rafaelo Procedure

What is The Rafaelo Procedure?

The Rafaelo Procedure is a treatment for haemorrhoids. It is a 15 minute procedure, which uses radio frequency technology to reduce and/or remove the symptoms of haemorrhoids.

What are the benefits of The Rafaelo Procedure?

The Rafaelo Procedure is a minimally-invasive day procedure carried under local anaesthetic. Most patients experience only very small amounts of pain and discomfort during a very short recovery time.

What are the side effects?

Every surgical procedure has inherent risks to them. Side effects from the procedure itself could include mild discomfort, bleeding or discharge for around 2 weeks following the procedure. As is the risk of with anal surgery, the patient might incur some more significant pain during the first couple of weeks or some heavy bleeding. In the case of heavy bleeding, they should seek immediate medical assistance.

What happens after the procedure?

You can return home or to work within two hours after The Rafaelo Procedure. Your clinician will have a follow up with you after 6 to 8 weeks.

How soon will I recover?

The recovery time for The Rafaelo Procedure is commonly within one week.

What is the price of The Rafaelo Procedure

The price of The Rafaelo Procedure varies by hospital or clinic. They will usually charge between £2k to £3k for the procedure

How many clinics offer the procedure?

There are currently nearly 40 hospitals or clinics who offer The Rafaelo Procedure.

Will my insurance cover The Rafaelo Procedure?

The Rafaelo Procedure is reimbursed by BUPA, CIGNA and WPA, with more to follow.

What is the success rate of The Rafaelo Procedure?

Read the clinical research in the Journal of Coloproctology.

Can I get treatment if I am pregnant?

As with most surgical procedures, the Rafaelo Procedure would not be suitable for those who are pregnant and will be advised to wait until after the birth. Often pregnancy itself, and particularly child birth, can be the cause or contributor to haemorrhoids hence it would be advisable to wait for treatment until after the birth in any event.

Will I need to take any medication after the procedure?

Usually not but, in some cases where discomfort is experienced post operatively, mild analgesia will be prescribed.