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Rafaelo haemorrhoid treatment allows you to get on with your life
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No more worry or waiting
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Walk in walk out same day treatment

One Stop ‘see & Treat’ for Haemorrhoids

Haemorrhoid Symptoms

It is common for people to suffer from haemorrhoid / piles symptoms such as bleeding and or swelling in the anal area on opening their bowels. In some people these symptoms will be periodic and simple lifestyle measures (such as eating healthier) or over the counter creams (anusol) will give some relief. If the symptoms persist then seeing your GP doctor is advisable.

Once a diagnosis of piles is made it is not unusual for people to ignore their symptoms due to the long NHS waiting times and the potential for long painful recovery following conventional treatments. This is where the Rafaelo procedure has revolutionised how we are able to treat these embarrassing and worrying symptoms. This pioneering technology has paved the way for our ONE STOP haemorrhoid service.



Rafaelo Treatment for Haemorrhoids

The Rafaelo Procedure is the latest advanced treatment for haemorrhoids. This procedure uses radiofrequency technology to reduce, and in most cases, eliminate, the common symptoms of internal (Grade 1-3) haemorrhoids by heating them up and causing them to shrink and seal off.

It can be carried out using only local anaesthetic. Most patients report very little pain or discomfort, and as a result, the post-operative recovery time is very short. The success rate is around 90% which means it’s a single one-off treatment in most cases.

The Rafaelo Procedure is a minimally-invasive walk in walk out the treatment which typically takes no longer than 15-20 minutes to perform. Cosmedics offer this within our convenient ‘See & Treat’ service for patients, so you can get on with normal life without having to worry about them.

Contact Our Dedicated Advisors

Email or telephone 020 7386 0464



Rafaelo Haemorrhoids

What is different about our Rafaelo Haemorrhoid Service?

  1. Firstly you will be seen by Mr Alex von Roon who is a leading London colorectal consultant surgeon and given an immediate diagnosis
  2. You do not need a referral as it is a private service at our Harley Street Clinic
  3. We provide a one-stop ‘See & Treat’ service so patients can be examined and treated on the same day as a walk-in walk-out service.
  4. Fast recovery so can return to work within 24-48 hours
  5. The Rafaelo procedure is our preferred treatment because we believe that it offers the best balance between effectiveness and postoperative discomfort.

If your haemorrhoids are not suitable for the Rafaelo procedure, Mr von Roon will discuss other treatment options with you.




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✔  Able to walk in walk out in 30-45 mins

✔  Same day consultant colorectal surgeon treatment

✔  Get back to normal life the following day


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✔  NEW Radiofrequency technology heats up and coagulates the bulging tissue sealing it off permanently

✔  ONE OFF treatment in most cases

✔  100% more effective than banding & electrocautery


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✔  All you feel is a warm sensation

✔  Radiofrequency works to seal off the haemorrhoid

✔  Minimal downtime and recovery


A consultation with our Colorectal Consultant Surgeon is required prior to treatment to provide a detailed diagnosis so that treatment options can be fully explained based on your specific needs.

All consultations and treatments are carried out at our Harley Street Clinic in central London.

How Do I Book an Appointment?

Call 0207 386 0464 or email and one of our medical advisors will make an appointment for you.

Option 1 – consultation only (30 mins) where you are unsure of your diagnosis

Option 2 – consultation & treatment (60 mins) where you have been given a diagnosis by your GP or other doctor or confident of the self-made diagnosis.

A deposit of £150 is taken for the booking and we have a 48-hour cancellation policy.

Key Features of Rafaelo Haemorrhoid Treatment

  • Higher success rate around 90% vs other walk in walk out procedures
  • One-off single treatment
  • Minimal/low discomfort during treatment
  • Quick and less painful recovery than comparable surgical procedures
  • Can help shrink and reduce the external protrusion of certain haemorrhoids making the symptoms in that area much more comfortable

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Treatment Time

Able to walk in walk out in 30-45 mins

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Recovery Time

Fast recovery so can return to work within 24-48 hours

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Get back to normal life the following day

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Results Duration

ONE OFF treatment in most cases

Our Prices

Haemorrhoid TreatmentsCost
Consultation with Colorectal Consultant £275 inclusive of proctoscopy
Rafaelo treatment (30mins) £2,225 totally inclusive
Follow up at 4 weeks included Free of charge


At Cosmedics we feel strongly that each person should be able to get these treatments at an affordable cost in a suitable setting and with exceptional care standards. Our prices are very affordable compared to other clinics but with no compromise on the quality of service and care.

Comparison of Rafaelo vs Other Haemorrhoid Treatments

Rafaelo has the following benefits over other haemorrhoid treatments:

 RafaeloInjectionBandingExroidHALO SurgeryExcision Surgery
Local or Sedation / General AnaestheticLocalNoneNoneNoneGeneral Anaesthetic / SedationGeneral Anaesthetic
Recurrence Rate 10%50%50%60%10%5%
Success rate 90%50%40%40%85%95%
Single or multiple treatments SingleSingle/MultipleSingle/MultipleMultipleSingleSingle
External shrinkage of protrusion YesNoMinimalNoYesAlways



What our patients say

Meet your medical team

Request a Callback

One of our dedicated Cosmedics advisors will call you back at a convenient time. You can trust our expertise with:

  • Over 18 years of medical excellence;
  • Affordable pricing & same day treatments;
  • Optimal Covid-19 health & safety;

Always found the Cosmedics team to be genuine, trustworthy and professional. I can honestly say that I have never felt in safer hands and would highly recommend them.

Hilary B

Your haemorrhoid treatment questions answered

What are haemorrhoids?

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Haemorrhoids (also known as ‘piles’) are swollen cushions of blood vessels around or just inside the anal canal (back passage). There are two kinds of a haemorrhoid: internal and external.

These haemorrhoidal cushions are normal anatomical structures but are made to swell and balloon by straining on the toilet, pregnancy, heavy lifting, family history, overweight that then cause bleeding, itching and soreness, discomfort, mucous discharge and protrusion through the anus.

What are the risks of the rafaelo procedure?

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All treatments and procedures have risks. The most common risks post-procedure and during the following 2 weeks include discomfort, mild bleeding or spotting or anal discharge and faecal urgency in the first 48 hours. Other rarer post-procedure complications might include recurrence of symptoms, infection, ulceration, fissure, or significant bleeding/haemorrhage.

Your consultant will discuss the benefits and risks of The Rafaelo Procedure during your initial consultation.

What happens at the ‘see & treat’ appointment?

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Your experience

You will be greeted by our friendly staff and have a chaperone allocated to you.
You will then have a full clinical assessment with Mr von Roon who is a leading London teaching hospital colorectal surgeon.
He will perform clinical examination including a proctoscopy, where a small plastic telescope is inserted into the back passage to confirm a diagnosis.
Once a diagnosis is made he advise you whether your haemorrhoids are suitable for treatment with the Rafaelo procedure. If they are, you can have the option to proceed to treatment during the same consultation. If they are not, he will advise you on what other treatments are available.

The Rafaelo procedure:

Takes about 10-20 minutes and is performed under local anaesthetic
You can go home independently afterwards
You will be given an aftercare leaflet and contact information
You will be reviewed at 4 weeks once it has taken time to fully resolve.

What happens if I have anal skin tags as well as haemorrhoids?

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If this is the case the best option is to treat the haemorrhoids first as these are the cause of the skin tags. By undergoing the Rafaelo treatment this will not only help prevent this from happening again but may also improve the skin tags by causing the tissue internally to contract and pull up some of the excess skin. If after 2 months there is still residual skin then you can opt to have this removed under local anaesthetic by our cosmetic doctors and plastic surgeons.

What if I get pain following treatment?

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Take 2 tablets (1000 mg) of paracetamol every 4 to 6 hours. If this is not sufficient, add in 2 tablets (400 mg) of ibuprofen every 4 to 6 hours. You can take both painkillers together safely. Some people have contraindications to ibuprofen – check with Mr von Roon on the day or with your doctor or pharmacist. If the pain is uncontrolled with above please contact Mr von Roon.

What treatments are available?

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Lifestyle changes to diet, to increase oral fluid and fibre intake thereby softening the stool will help reduce straining avoiding straining and avoiding strenuous lifting. Other treatments are radiofrequency (Rafaelo), rubber banding and injections as outpatient day cases under local anaesthetic and for more extensive haemorrhoids surgical removal under general anaesthetic is required.

Where does the treatment and consultation take place?

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The consultation and treatment take place at 41 Harley Street, London W1G 8QH. The clinic is registered with the CQC (Care Quality Commission) with an inspection report in August 2019 passing it as good.

Will I be able to open my bowels?

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You will be able to open your bowels normally. This should not be more painful than normal. As mentioned above, you may experience the urgency of defaecation.

Will I be able to work the next day?

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Most people are able to work the following day. However, if you get urgency this can be a little unpredictable, so if you have the option of working from home, it is advisable to do this on the first day.

Is the rafaelo procedure safe and effective?

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As the Rafaelo procedure is a novel treatment and the evidence base for it is still being established, the National Institute for Health and Clinical Excellence (NICE) has recommended that it should be used with special arrangements for clinical governance, consent and audit.

At Cosmedics, we keep careful records of all Rafaelo cases performed and regularly audit our clinical outcomes for the procedure.

If rafaelo is not suitable do you offer haemorrhoid banding or injection?

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Yes, both rubber ligation (banding) or injection of sclerosant (Phenol) is an option should Rafaelo radio-frequency not be appropriate or surgery in severe cases. On assessment, your colorectal consultant will discuss the best options for you.

How do I know if I have just anal skin tags or a protruding haemorrhoid ?

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Skin tags are caused by the swelling of the pile or haemorrhoid externally causing the skin to stretch. Once the haemorrhoid shrinks people can often be left with anal skin tags. These anal skin tags can be treated by us separately, but you need a surgeon assessment to ideally diagnose what is the true cause of anal skin swelling.

Key symptoms on opening bowels

  • Swelling of skin tag = skin tag and haemorrhoid
  • Bleeding and sharp pain that lasts for few hours = fissure (tear in anal skin)
  • Bleeding and minimal if any discomfort = haemorrhoid

Haemorrhoid vs Skin Tag Checker for Protruding Anal skin

 Haemorrhoid Skin Tag Haemorrhoid + Skin tag Fissure (tear in the skin)
Bleeding on opening bowels Yes on paper, stool and in toilet Not commonYes on paper mainly or stool Yes
Pain on opening bowels Not common Not commonDiscomfort only not pain Yes sharp lasts for few hours
Swelling of skin or lump on opening bowels Yes Not commonYes No

Does the rafaelo procedure work for everyone?

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We find that in practice, 9 out of 10 people are very satisfied with the outcome of the procedure.

One in 10 feel that their symptoms are not improved sufficiently afterwards. In these cases, the Rafaelo procedure can be repeated, or an alternative treatment like excision of remaining anal skin tags or traditional haemorrhoidectomy may be required.

Mr von Roon will advise you on this when you attend for the follow-up consultation.

Do I need to change my diet or have an enema for the procedure?

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You can eat as normal before and after. There is NO need for an enema (clearing out of bowels with laxative).

We advise that you increase the amount of fibre in your diet and your fluid intake in the first two weeks after the procedure to avoid constipation.

Can I exercise after treatment?

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For exercise such as running, swimming and cycling and strenuous activities resume as normal after 2 weeks.

Can I have the rafaelo procedure if I am homosexual?

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Yes, it is a common occurrence to have haemorrhoids in homosexual men. It can be very embarrassing and awkward to have haemorrhoid symptoms. There is also the sexual health risk to consider due to the increased likelihood of bleeding during intercourse. This is an ideal treatment for patients who just want to get back to normal daily lives as quickly as possible and not have to worry about it again.

Find your nearest haemorrhoid removal clinic

Harley Street

41 Harley St

0207 386 0464

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