Annals of Coloproctology

Original Article

Radiofrequency ablation (Rafaelo Procedure) for the treatment of hemorrhoids: a case series in the United Kingdom: Sarah Hassan, Daniel McGrath, Richard Barnes, Simon Middleton; Ann Coloproctol. 2023;39(2):164-167. Published online August 18, 2021; DOI: https://doi.org/10.3393/ac.2021.00276.0039

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Purpose
Hemorrhoidal disease remains a common condition that can have a significant effect on a patient’s quality of life. Various methods have been introduced over the years; however, their overall success rates remain low. Although the traditional Milligan Morgan technique is effective, the associated pain level prevents it from being an attractive form of treatment. This study was devised to assess the safety and efficacy associated with a novel minimally invasive approach, radiofrequency ablation (RFA).
Methods
Forty-two patients underwent RFA at a single center, by 1 of 2 surgeons. This was performed under local anesthetic and sedation. Outcomes including postoperative pain levels, recurrence rates, and patient satisfaction scores were recorded and analyzed using medians and interquartile ranges
Results
The median postoperative pain score was 2.5/10 (interquartile range [IQR], 0–4.5) and the overall patient satisfaction score was 9 out of 10 (IQR, 6.5–10). Recurrence rates (6–12 months following the procedure) were low at 12% and all patients reported milder symptoms at recurrence. There were no serious adverse complications
Conclusion
The results from this case series supports other limited data in concluding that RFA is a safe and effective method in the treatment of hemorrhoids and patients report a high level of satisfaction following

Citations

Citations to this article as recorded by

Latest Research Trends on the Management of Hemorrhoids
Sung Il Kang
Journal of the Anus, Rectum and Colon.2025; 9(2): 179. CrossRef
Radiofrequency Ablation for Internal Hemorrhoids: A Case Series
Kean leong Koay, Nabil Mohammad Azmi, Soma Chandrakanthan, Nurafdzillah Abdul Rahman, Diana Melissa Dualim
Cureus.2024;[Epub] CrossRef
What can patients expect in the long term from radiofrequency thermocoagulation of hemorrhoids on bleeding, prolapse, quality of life, and recurrence: “no pain, no gain” or “no pain but a gain”?
Jean-Michel Didelot, Benjamin Raux, Romain Didelot, Franz Rudler, Aurelien Mulliez, Anthony Buisson, Armando Abergel, Pierre Blanc
Annals of Coloproctology.2024; 40(5): 481. CrossRef
Protocol for the ORION trial (RadiO fRequency ablatION for haemorrhoids): a randomised controlled trial
C. Girling, M. J. Lee, D. Vimalchandran, D. J. Jayne, S. Stancliffe, A. Wailoo, M. Bradburn, D. Hind, M. Bursnall, L. K. Robinson, S. R. Brown
Techniques in Coloproctology.2023; 27(2): 117. CrossRef
The role of the Rafaelo procedure in the management of hemorrhoidal disease: a systematic review and meta-analysis
Prokopis Christodoulou, Ioannis Baloyiannis, Konstantinos Perivoliotis, Dimitrios Symeonidis, George Tzovaras
Techniques in Coloproctology.2023; 27(2): 103. CrossRef
Radiofrequency thermocoagulation of haemorrhoids: learning curve of a novel approach
Valentin Butnari, Ahmer Mansuri, Sandeep Kaul, Veeranna Shatkar, Richard Boulton
Journal of Surgical Case Reports.2023;[Epub] CrossRef
French multicentre prospective evaluation of radiofrequency ablation in the management of haemorrhoidal disease
A. Laurain, D. Bouchard, J.-M. Rouillon, P. Petit, A. Liddo, B. Vinson Bonnet, A. Venara, J.-M. Didelot, G. Bonnaud, A. Senéjoux, T. Higuero, P. Delasalle, A.-L. Tarrerias, F. Devulder, A. Castinel, C. Thomas, H. Pillant Le Moult, C. Favreau-Weltzer, L. A
Techniques in Coloproctology.2023; 27(10): 873. CrossRef
Early and midterm results of radiofrequency ablation (Rafaelo® procedure) for third-degree haemorrhoids: a prospective, two-centre study
S. Tolksdorf, D. Tübergen, C. Vivaldi, M. Pisek, F. Klug, M. Kemmerling, H. Schäfer
Techniques in Coloproctology.2022; 26(6): 479. CrossRef

Case Report

Late Presentation of Anal Canal Duplication in Adults: A Series of Four Rare Cases: Rezvan Mirzaei, Bahar Mahjubi, Mina Alvandipoor, Mohammad Yasin Karami; Ann Coloproctol. 2015;31(1):34-36. Published online February 28, 2015; DOI: https://doi.org/10.3393/ac.2015.31.1.34

6,621 View
46 Download
10 Web of Science
11 Citations

Abstract PDF

Anal canal duplication (ACD) is a very rare condition, especially in adults. Four cases in adults are reported. In three cases, the orifice of duplication was located behind the native anus, and in one case, it was located anteriorly. In all cases, no communication between the anal canal and the tract of duplication was noted. Complete removals of the duplications were done through a perineal approach. Histology showed fibro-muscular tissue lined with a squamous epithelium. The postoperative courses were uneventful.

Citations

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Anal canal duplication with heterotopic gastric mucosa and anal stenosis: first case report and literature review
Chen Liu, Chuanzhen Xu, Xiaoliang Xu, Yan Zhang, Lei Geng, Yanhui Mei, Hong Ji, Tingliang Fu, Guojian Ding
Frontiers in Pediatrics.2024;[Epub] CrossRef
Cystic lesions of the retrorectal space
Ian S Brown, Anna Sokolova, Christophe Rosty, Rondell P Graham
Histopathology.2023; 82(2): 232. CrossRef
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Mauricio Gutierrez-Alvarez, Jorge Leal, Kevin Fuentes, Fernando Sotelo, Irving Fuentes, Daniel Camacho
Cureus.2023;[Epub] CrossRef
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Dandan Li, Shuaibin Liu, Jiexiong Feng, Jixin Yang
Frontiers in Surgery.2022;[Epub] CrossRef
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Ioannis Karamatzanis, Panagiota Kosmidou, Stavros Harmanis, Ioannis Karamatzanis, Giorgos Harmanis
Cureus.2022;[Epub] CrossRef
Case Report: Anal canal duplication associated with anorectal stenosis—A rare presentation
Zhen Zheng, Dong Xiao, Junxiang Wang, Haozhong Xu, Jianxiong Mao, Xiuliang Wang
Frontiers in Pediatrics.2022;[Epub] CrossRef
Anal Canal Duplication in an Adult Female—Case Report and Pathology Guiding
Tudor Mateescu, Cristi Tarta, Paul Stanciu, Alis Dema, Fulger Lazar
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A. C. Trecartin, A. Peña, M. Lovell, J. Bruny, C. Mueller, M. Urquidi, Andrea Bischoff
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Anal Canal Duplication Associated with Presacral Cyst in an Adult
Takayuki Toyonaga, Hiromitsu Matsuda, Ryuichi Mibu, Yohei Tominaga, Keiji Hirata, Masafumi Takeyoshi, Masazumi Tsuneyoshi
Journal of the Anus, Rectum and Colon.2018; 2(1): 31. CrossRef
Anal canal duplication presenting with abscess formation
Shohei Honda, Masashi Minato, Hisayuki Miyagi, Hiromi Okada, Akinobu Taketomi
Pediatrics International.2017; 59(4): 500. CrossRef
Anal canal duplication and triplication: a rare entity with different presentations
P. Palazon, V. Julia, L. Saura, I. de Haro, M. Bejarano, C. Rovira, X. Tarrado
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