Non-Surgical Haemorrhoid Treatment Comparison
The Haemorrhoid Clinic in London – Compare Your Non-Surgical Options
The Haemorrhoid Clinic in London offers a range of non-surgical treatment options for troublesome piles.
Our team of experienced colorectal surgeons will carefully assess your symptoms and perform an examination before recommending the most appropriate non-surgical option for you. Every patient is different, and the right choice depends on your particular symptoms and findings — which is why we only make a recommendation after you’ve been examined.
Rafaelo (RFA)
One-off, pain-free, proven
- Sessions: Usually 1 session
- Comfort: Pain-free with local anaesthetic
- Recovery: Back to normal in 1–2 days
- Cost: One-off treatment fee
- Proof: Strong 30-month outcome data
- Best for: Grade II–III, bleeding, prolapse
Rubber Band Ligation
- Sessions: 1–2 (may need follow-up)
- Comfort: Mild–moderate discomfort for 1–3 days
- Recovery: 1–5 days
- Cost: Lower upfront; possible repeats
- Proof: Good evidence
- Best for: Grade I–II
Injection Sclerotherapy
- Sessions: 1–3
- Comfort: Mild stinging
- Recovery: 1–2 days
- Cost: Relatively low
- Proof: Moderate evidence
- Best for: Grade I–II, bleeding
Electrotherapy (eXroid)
- Sessions: 1–5 (often multiple visits)
- Comfort: No anaesthetic — discomfort or pain possible
- Recovery: Minimal downtime
- Cost: Can be expensive if multiple visits are needed
- Proof: Limited evidence
- Best for: Mild–moderate haemorrhoids
Haemorrhoid Treatment Comparison
| Treatment | Sessions | Comfort | Recovery | Cost | Proof | Best for |
|---|---|---|---|---|---|---|
| Rafaelo (RFA) | Usually 1 | Pain-free with local anaesthetic | 1–2 days | One-off treatment fee | Strong 30-month outcome data | Grade II–III, bleeding, prolapse |
| Rubber Band Ligation | 1–2 | Mild–moderate discomfort for 1–3 days | 1–5 days | Lower upfront; possible repeats | Good evidence | Grade I–II |
| Injection Sclerotherapy | 1–3 | Mild stinging | 1–2 days | Relatively low | Moderate evidence | Grade I–II, bleeding |
| Electrotherapy (eXroid) | 1–5 | No anaesthetic — discomfort or pain possible | Minimal downtime | Can be expensive if multiple visits are needed | Limited evidence | Mild–moderate haemorrhoids |
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