The Irish Mail on Sunday

Relief at last in five-minute surgery for piles

- By Hilary Freeman

A NEW five-minute, virtually painless procedure for treating haemorrhoi­ds – which allows patients to avoid the pain of surgery and resume their normal daily activities immediatel­y – is now available in the UK.

The Rafaelo procedure was developed in Poland, where it has been used to treat more than 2,000 patients. It is now being carried out privately at Spire St Anthony’s Hospital in Surrey in England by consultant colorectal surgeon Nick West. It is based on the same technology used to treat varicose veins. Haemorrhoi­ds, or piles, are caused by the deteriorat­ion of blood vessel-rich spongy cushions inside the rectum. It is believed these structures play a role in maintainin­g continence. Downward pressure – simply the effect of gravity and being on two feet, but sometimes greatly increased by factors such as pregnancy – can cause them to swell, engorge, itch and bleed.

The only other species to suffer from the condition is the gorilla.

They affect up to 75% of adults at some point in their lives. There is a huge range of treatments, from creams and suppositor­ies for mild cases to surgery for the most serious. This is performed under anaestheti­c and can result in the patient taking four weeks off work.

The name Rafaelo come from the procedure’s title: RAdio Frequency treatment of HAEmorrhoi­ds under LOcal Anaestheti­c.

Mr West said: ‘The base of the haemorrhoi­d is injected with local anaestheti­c. A special metal probe, the width of a knitting needle, is inserted into the haemorrhoi­d. Radio-frequency energy is then sent down the probe. You can see the haemorrhoi­d shrinking instantly.’

The procedure costs around €2,250.

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