Haemorrhoids treatment

There are various treatments for haemorrhoids: banding, excision (see excision of anal lesion) or the Rafaelo treatment.

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Common questions

What is haemorrhoid treatment?

The banding (or ligation) of haemorrhoids is a non-surgical procedure where a tight rubber band is attached around the base of an internal haemorrhoid. The band constricts the blood supply to the haemorrhoid, causing it to fall off. Banding has proved to be a very effective long-term treatment for internal haemorrhoids. This quick and painless treatment has a much lower risk of side effects than surgery. If you have a number of haemorrhoids, the treatment may need to be repeated.

The Rafaelo procedure is a minimally invasive procedure for internal haemorrhoids. It typically take around 20 minutes to perform. Patients are usually treated, using a local anaesthetic or mild sedative (although some patients choose to be treated under general anaesthetic). Most patients report minimal post-operative pain, meaning recovery time is short and they can quickly get back to their lives.

Why have I been recommended to have haemorrhoid treatment?

You will have been recommended for treatment if you have external or internal haemorrhoids.

What happens during haemorrhoid treatment?

Rafaelo Treatment: During the operation, a special needle probe is inserted into the haemorrhoidal cushion. Radio frequency energy is passed through the needle into the tissue, which heats it, reducing the blood supply and shrinking the haemorrhoid.

Banding is not suitable for the treatment of external haemorrhoids. Banding is a routine procedure that involves your consultant or nurse inserting a small instrument into your anus. This is used to place a tight elastic band around the internal section of your haemorrhoid, cutting off its blood supply. This causes the haemorrhoid to fall off, relieving your symptoms within 10 to 14 days. The banding procedure only takes a few minutes to perform and is not painful.

What should I expect after haemorrhoid treatment?

After the Rafaelo procedure, you will need a few days to fully recover, depending on the severity of your haemorrhoids. You will be sent home with painkillers and may be able to continue with your normal routine within a day or two. You will have a follow-up appointments a few weeks after the operation.

Are there any risks from haemorrhoid treatment?

Patients may experience discomfort, mild bleeding and some anal discharge after the operation. In rare cases, complications such as anal fissures or more significant bleeding may occur. We will always discuss any risks with you before carrying out the procedure. 

In a small number of cases, banding of haemorrhoids can cause bleeding, pain and ulcers (open sores). The procedure may not be suitable if you're taking anticoagulant medication for other conditions. We always discuss any risks with you before carrying out the procedure.

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