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Rafaelo & HALO (Haemorrhoid Treatments)

Advanced Haemorrhoid Solutions

Gone are the days when haemorrhoid surgery meant a week in the hospital and a painful recovery. Mr Nizar specializes in two of the most effective, modern alternatives to traditional surgery.

Advanced Haemorrhoid Treatment: The Rafaelo Procedure & HALO

Haemorrhoids, commonly known as piles, are swollen veins located in the lower rectum and anus. While they are a very common condition, they can cause significant discomfort, bleeding, itching, and pain. Haemorrhoids are graded from 1 to 4 based on their size and whether they prolapse (drop down) outside the anus.

Mr Nizar provides expert assessment and offers modern, minimally invasive treatments designed to treat haemorrhoids effectively with minimal disruption to your life.

The Rafaelo Procedure:

This is a state-of-the-art, minimally invasive treatment specifically designed for internal haemorrhoids (typically Grades 1–3).

The Rafaelo Procedure
  • How it works: It uses radiofrequency ablation energy to target and reduce the blood supply to the haemorrhoid, causing it to shrink and disappear.

  • The benefits: The procedure is highly effective, can be performed under local anaesthetic or mild sedation as a day case, and is associated with significantly less post-operative pain and a quicker return to normal activities compared to traditional surgery.

HALO (Haemorrhoidal Artery Ligation Operation):

The HALO procedure is an advanced technique ideal for higher-grade haemorrhoids (Grades 2–4) or those causing significant bleeding.

The HALO Procedure
  • How it works: Using a specialized ultrasound probe, Mr Nizar locates the specific arteries supplying blood to the haemorrhoids. These arteries are then precisely stitched (ligated) to cut off the blood supply, causing the haemorrhoid to shrink. If the haemorrhoids are prolapsing, a rectoanal repair (RAR) can be performed at the same time to lift them back into place.

  • The benefits: HALO targets the root cause of the problem without any cutting or removal of tissue. This translates to far less discomfort and a much lower risk of complications than a traditional haemorrhoidectomy.

Why advanced treatment is needed:

While lifestyle changes and topical creams can soothe mild symptoms, they do not cure advanced or persistently bleeding haemorrhoids. Traditional surgical removal (haemorrhoidectomy) is notoriously painful and requires a lengthy recovery.

By utilizing modern procedures like Rafaelo and HALO, Mr Nizar offers patients effective alternatives that treat the condition at its source while drastically reducing post-operative pain.

Aftercare & Recovery:

Both the Rafaelo and HALO procedures are performed as day-case operations, meaning you can return home the same day. Most patients experience only mild discomfort rather than severe pain and are able to return to work and light activities within a few days.

Tailored Colorectal Solutions

There is no “one size fits all” approach to haemorrhoid care. Mr Nizar offers a full spectrum of treatments—from conservative management and clinic-based banding to the advanced HALO and Rafaelo procedures. By tailoring the technique to the specific grade of your haemorrhoids, your anatomy, and your lifestyle, he ensures a durable result with a primary focus on maximizing your comfort and getting you back to your normal routine as quickly as possible.

Patient consultations with Mr Shiyam Nizar, Consultant Colorectal & General Surgeon, London Bowel Doctor, Frimley, Surrey, South West London
Expert Care for Your Digestive Health

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Specialist Colorectal and General Surgeon Mr Shiyam Nizar, Consultant Colorectal and General Surgeon sees both insured and non-insured patients. He offers a range of treatments for colorectal conditions, with expert care for bowel cancer, haemorrhoids, and hernias.