The pain and discomfort of piles will affect 80% of us at some point in our lives. Right now there are several hundred thousand people in the UK suffering from the condition, which is impacting their lives to a greater or lesser extent.

What Causes Piles?

Piles, or haemorrhoids to give them their proper name, are swollen and inflamed blood vessels in and around the anus, which have become painful. There are many different causes of haemorrhoids including:

  • Constipation which can lead to straining to go for a poo
  • Age, which causes a natural weakening of bodily tissues and increases the risk of haemorrhoids
  • Being overweight, which puts pressure on the vascular system
  • Lack of fibre in the diet
  • Sitting down for long periods
  • Family history of haemorrhoids
  • Regularly lifting heavy objects
  • Persistent cough or repeated vomiting


Are Piles affecting your life? Piles not only cause pain and discomfort but they can also contribute to a loss of confidence, which can impact people’s quality of life, leading some people to stop doing activities that they enjoyed beforehand.



Piles are graded on a scale of one to four, with four being the most severe. Traditionally, treatment options ranged from over-the-counter treatments to surgery carried out under general anaesthetic.

However, the Rafaelo Procedure offers an alternative way with minimal discomfort and lasting results.

Developed by Dr Tomasz Klos and introduced to the UK in 2015, the treatment has been used to treat more than 2,000 patients to date, producing lasting relief from the discomfort of piles with no known side-effects.


What to Expect

Rafaelo stands for Radio Frequency Treatment of Haemorrhoids under Local Anaesthetic and the procedure is offered by experienced colorectal doctors qualified to carry it out. After being given a sedative to help you relax, a local anaesthetic is applied to the area of the haemorrhoid.

A special device that emits a safe radio frequency energy is used to stem the blood supply to the haemorrhoid. This causes it to contract, producing virtually instant relief from symptoms.

The procedure takes no more than a few minutes. It causes minimal discomfort and you will be free to leave within a couple of hours. There is no known recurrence of symptoms following the Rafaelo Procedure and you can return to daily activities immediately. No aftercare is necessary.

To discuss the Rafaelo Procedure with a specialist, contact GI Doctors. We can carry out a prompt diagnosis and decide if this procedure could be right for you.


Key points about the Rafaelo Procedure: 

  • Minimal pain and discomfort
  • The procedure takes just a few minutes
  • A local anaesthetic is used to numb the area
  • A gentle sedative is also used to help you to relax
  • There are no known recurrence of symptoms
  • Daily activities can be resumed straight away
  • A specialist doctor, with specific training in this procedure, is required to perform this treatment
  • Patients have reported excellent results with little to no aftercare requirement
  • This procedure may not be suitable for everyone. Specialist diagnosis is the first step to discussing treatment options.


Working with a specialist doctor will help promptly diagnose if you have haemorrhoids and what type. They can also consider various treatment options, which may include the Rafaelo Procedure.