How to Treat Hemorrhoids with Radiofrequency?
Radiofrequency treatment for hemorrhoids involves heating the hemorrhoidal arteries using a small probe inserted under the mucosa of the lower rectum.
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| How to Treat Hemorrhoids with Radiofrequency? |
How to Treat Hemorrhoids with Radiofrequency
This low-pressure radiofrequency current, similar to microwaves, heats the hemorrhoidal arteries to reduce symptoms.
Who Is This Treatment For
Radiofrequency treatment is designed for patients with prolapsed or bleeding hemorrhoids that have not responded to conventional instrumental treatments. However, it is not suitable for external hemorrhoids.
What Happens During the Procedure
The procedure is relatively short and is performed under general or spinal anesthesia. A small probe is inserted under the mucosa of the lower rectum, in contact with the hemorrhoidal artery.
This technique is available in specialized centers as an alternative to conventional hemorrhoidectomy surgeries, such as the well-known Milligan-Morgan hemorrhoidectomy, Doppler-guided ligation, or laser surgical treatment.
How Effective Is This Treatment
Since this is a relatively new technique, long-term studies are still lacking. However, initial short- and medium-term results are very promising. Patients experience significantly less pain compared to traditional hemorrhoidectomy procedures.
Is Recovery Easier Compared to Traditional Surgery
Yes, recovery is much simpler because there are no surgical wounds, leading to significantly less post-operative pain.
What Are the Possible Complications
As with any medical procedure, there are potential complications. These include:
- Risks associated with anesthesia.
- Temporary urinary difficulties, especially in patients with a history of prostate issues.
- Bleeding, which can be worsened by anticoagulant or antiplatelet medications.
- Pain, though generally well managed with simple painkillers and non-steroidal anti-inflammatory drugs.
Conclusion
Radiofrequency surgical treatment for hemorrhoids is an innovative technique with encouraging short- and medium-term results.
While long-term studies are still awaited, this procedure offers a simple, repeatable option with less pain and easier recovery.
In cases where it does not work, patients can still opt for proven conventional surgical treatments.
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📚 Medical sources
- Schäfer H. et al. — Early and midterm results of radiofrequency ablation (Rafaelo® procedure) for third-degree haemorrhoids — RFA proved safe and effective for grade III hemorrhoids, with very low postoperative pain over a 2-year follow-up.
- Hussain Z. et al. — Radiofrequency ablation for the treatment of haemorrhoidal disease: a minimally invasive and effective treatment modality — Hemorrhoid severity scores improved significantly, with near-zero pain scores at 2-month follow-up.
- Gupta P.J. — The role of radiofrequency surgery in the treatment of hemorrhoidal disease — Radiofrequency techniques reduced operating time and pain compared to conventional Parks', Milligan-Morgan, and Ferguson hemorrhoidectomies.
- Gupta P.J. — Radiofrequency ablation and plication of hemorrhoids — In 300 patients, hospital stay was under 24 hours, with 96% reporting relief from bleeding at follow-up and low recurrence rates.
- Gentile M. et al. — Ferguson hemorrhoidectomy with radiofrequency versus classic diathermy — RF scalpel significantly reduced surgical time and first-day postoperative pain compared to traditional diathermy.
