Rafaelo Check |
Therapy time: 10-15 minutes |
Hospitalization: No |
Open wounds: No |
Incapacity for work: 1-3 days |
General anesthesia No, for larger findings possibly yes |
Costs: Currently covered by TK and mkk, otherwise self-payer service |
This is a new surgical treatment procedure that can be performed on an outpatient basis and, in contrast to other procedures, is very painless.
A major advantage over all other surgical procedures is the possibility of an operation without general anesthesia.
In most cases, the hemorrhoidal cushions of 2-3 degrees are cauterized with a heat probe (radiofrequency ablation) under local anaesthesia (the patient is awake). The dead tissue slowly dissolves and the reduced blood flow causes the hemorrhoidal tissue to shrink and scar after 4-6 weeks. During this “remodeling process”, patients have no or only very minor restrictions.
The procedure has been established in vein surgery for years and is an integral part of the low-pain treatment options. The outpatient procedure takes a maximum of 15 minutes and patients can go home after a short monitoring phase for post-operative bleeding.
Afterwards, there are no restrictions in everyday life and a sick note is usually only necessary for 1-3 days. Very rarely, painful swelling of the nodes may occur in the following days, which can be easily treated with anti-inflammatory medication.
The costs for this new procedure will be covered by the Techniker Krankenkasse (TK) and mkk health insurance companies as well as most private health insurance companies. Other company health insurance funds are expected to follow in 2025.
Incidentally, the word Rafaelo® does not stand for a chocolate, but for “Radio Frequency Treatment of Haemorrhoids under Local Anaesthesia”.
The homogeneous treatment ensures:
The procedure does not cause any wounds in the anal skin or inside the anal canal. As a result, the patient has less post-operative pain and can return to normal activities within a short time.
The operation is performed under local anesthesia. After inserting a proctoscope, the local anesthetic is injected painlessly between the hemorrhoidal node and the rectal wall.
This is followed by thermocoagulation with a heat probe for approx. 60-200 seconds per hemorrhoidal node with 1800-2500 joules. The hemorrhoid and hemostasis occur simultaneously.
Finally, the patient is cooled with compresses and the blood is checked for dryness. Patients can leave the practice on their own after a brief monitoring and check for post-operative bleeding.
Surgery cannot be performed on the following patients:
For a better understanding of the operation, there is an animated video on You Tube. It clearly shows you the course of the RAFAELO method.
For patients with a longer journey, we can offer a combined appointment over 2 days. On the first day, the patient is examined and, if necessary, informed about the operation. However, not all patients are suitable for this form of therapy! Please make an appointment at: op@copv.berlin
Laser therapy Check |
Therapy time: 10-15 minutes |
Hospitalization: No |
Open wounds: 2-3 very small wounds on the anus where the laser fiber was inserted |
Incapacity for work: 1-5 days |
General anesthesia: Yes |
Costs: Currently covered by TK and mkk, otherwise self-payer service |
Laser hemorrhoidoplasty (LHP). This procedure gives you the opportunity to treat second and third degree hemorrhoids much more gently compared to conventional surgical procedures. There is considerably less pain and the time off work is only a few days.
During laser treatment, energy is applied centrally to the respective hemorrhoidal node in a controlled manner. The sensitive anoderm and mucosa (mucosa) are preserved to a high degree.
The homogeneous laser radiation of the LHP® fiber, which is necessary for this procedure, ensures
Laser coagulation can be used to treat single or multiple hemorrhoidal nodes in one session. The controlled delivery of laser energy to the hemorrhoidal cushions causes the hemorrhoidal nodes to shrink.
In addition, the mucous membrane is repositioned in its original position in the rectum by strengthening the underlying connective tissue. This prevents the development or re-development of a prolapse, i.e. the hemorrhoidal tissue hanging out of the anus.
No foreign bodies, e.g. staples, need to be attached and - unlike other methods - there is no risk of stenosis with LHP®. Healing is excellent as there are no incisions and only very small stitches of 3 mm compared to conventional operations.
The hemorrhoid is reached through this small opening at the edge of the anus. This procedure does not cause any wounds in the anal skin or inside the anal canal. As a result, the patient has less post-operative pain and can return to normal activities within a short time.
1. the laser fiber is positioned
under vision exactly in the center of the
hemorrhoidal cushion
placed under vision.
2. the LHP® laser fiber is used to
each haemorrhoid from the inside
from the inside out using heat.
For a better understanding of the laser method, Biolitec has an animated video on You Tube. This clearly shows you the course of the operation using the LHP method.
You are welcome to book an appointment with our doctors.
We look forward to hearing from you.