Rafaelo procedure at Spire Alexandra

A virtually painless way to treat haemorrhoids - perfect for those with busy lives.

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Haemorrhoids (or piles as they are commonly known) are generally an unspoken curse from which many of us suffer, but are too embarrassed to discuss with our loved ones, let alone our GP. They are enlarged vascular ‘cushions’ just inside or around the bottom (anus and lower rectum), thought to be caused by a variety of factors but commonly constipation, diarrhoea or excessive straining.

They're very common; it's been estimated that up to 50% of the population may suffer from symptomatic haemorrhoids at some point in their lives (source: Haemorrhoids: diagnosis and management. Am Surg 75 (8): 635–42).

After 3 years of development and over 2,000 patients successfully treated across Europe with outstanding results, we’re able to offer the Rafaelo Procedure. Using the safe and established technology of radio frequency ablation, the Rafaelo procedure can be performed on a walk-in, walk-out basis.

Read why you might need it


You won't need a general anaesthetic, and can return to your normal daily activities immediately after treatment, rather than needing three weeks to recover. You’ll be virtually pain free after the procedure and your symptoms should improve almost immediately. Find out more about the Rafaelo procedure on their website.

If you have haemorrhoids which are between grades 1, 2 or 3, Rafaelo could be the treatment for you.  Some grade 4 haemorrhoids may be reduced, but it's unlikely that they will not reach a complete resolution, which often will require surgery.

Watch how the Rafaelo procedure works

Your consultant

Mr Kukreja is a consultant colorectal surgeon. He qualified as a doctor from King's College London in 1998 and was appointed a consultant surgeon in 2014. He is a highly productive and hard working surgeon. His main interest lies in laparoscopic (keyhole) surgery. Patients who have laparoscopic, rather than open, surgery tend to have faster recovery times and less pain.

In addition to laparoscopic surgery, he has extensive experience of diseases of the anus, including the treatment of haemorrhoids (Rafaelo and THD), management of complex fistula disease including the use of fistula plugs and pilonidal sinus surgery. He manages the surgical diagnosis and surgical problems associated with inflammatory bowel disease and works closely with gastroenterology to provide a joined up approach.

He is a JAG accredited endoscopist and is able to perform both upper and lower GI endoscopy (OGD and colonoscopy). His general surgical practice includes the management of hernias and gallstones (laparoscopic cholecystectomy). He is the surgical lead for safety at Medway Maritime Trust, where he has strived hard to improve the provision of surgical services to the local population.

Read more about Mr Kukreja

Book an appointment

If you’d like a consultation with Mr Kukreja about Rafaelo - available for just £1980 if you’re funding your own treatment – call us on 01634 662 866. 

Enquire here