External Hemorrhoids Removal

Patient Benefits:

  • Minimally invasive procedure;
  • Rubber band ligation can be performed in an ambulatory setting;
  • The procedure is performed using short duration venous anaesthesia;
  • The method is effective for third- and fourth-degree haemorrhoids;
  • A short time of the procedure;
  • Insignificant pain sensations during and after the procedure;
  • No hospitalization is necessary and you do not have to be on a sick leave.



Eligibility for the rubber band ligation procedure is usually determined during a surgical consultation and on the basis of an anoscopy (endoscopy of the rectum) and/or colonoscopy. Patients suffering from other diseases may require opinions of other specialists.

 prof. Stanisław MolskiStanisław Molski, MD. PhD. DSc.
specialist in general and vascular surgery and angiology
michal molski - general surgeon, phlebologistMichal Molski, MD. PhD.
specialist in general surgery

Schedule your visit via e-Appointment.


Price list, refunds provided by insurance companies:

  • Cost of verifying a patient’s eligibility for the procedure is 80 €;
  • Cost of colonoscopic exam in general aesthesia is 250 €
  • Cost of the RFITTH Celon radiofrequency ablation procedure amounts to 1100 €;
  • Follow-up appointments up to 4 weeks following the procedure – free of charge.
Insurance companies:
  • We signed contracts concerning medical eligibility and procedure coverage with: eg. Luxmed a partner of BUPA
  • Check if your insurance coverage includes the cost of medical eligibility or procedure
  • If required we will prepare a treatment plan for your insurance company


Disease symptoms & indications for treatment:

  • Veins of anal canal bleed especially on defecation;
  • Pruritus;
  • Painful;
  • Feeling of incomplete defecation;
  • Visible mucous and skin swelling in the area of rectum.


Treatment methods:

Delaying the anal varicose veins treatment may lead to disease intensification and require a more radical treatment. There are a number of haemorrhoid treatment methods:

  • For early  stages of the disease (first-degree haemorrhoids), patients use medication therapy including pills and suppositories as well as creams of local application;
  • The rubber band ligation procedure – the so called Barron method can be applied in most cases of moderate haemorrhoidal disease (first- and second-degree);
  • More advanced cases (third- and fourth-degree) may be treated with a minimally invasive technique, that is RFTTH, or surgery may be considered. 


Pre-op preparation for the RFITTH procedure:

The rubber band ligation procedure requires bowel cleansing and to achieve that a jelly diet may be sufficient or using bowel cleansing medications.


Course of the procedure:

The RFITTH Celon ablation for haemorrhoids is a procedure in which rectal and anal varicose veins are closed off by heating them with a special applicator inserted into haemorrhoids.

The following day the haemorrhoid shrinks and the final visible effect can be visible only 2-3 weeks after the radial ablation. This is a minimally invasive and relatively painless method which allowtreating advanced stages of haemorrhoids and avoid surgery.

The procedure allows for the treatment of all haemorrhoids during one session.

Radial ablation is performed in an ambulatory setting using short duration general anaesthesia and it takes only about 20 minutes. The patient may go home only several hours after the procedure.



  • You are likely to feel insignificant pain and minor bleeding after radial ablation. You may use ibuprofen or other painkillers to solve the trouble;
  • You should prevent constipation after the procedure by using stool softening medication;
  • You should prevent constipation as well as long-term defecation after rubber band ligation to avoid anal varicose veins in future. This can be achieved through applying an appropriate diet rich in fibre (vegetables, fruit, musli) and anti-constipation medication.


Effects of the RFITTH Celon ablation procedure:

You can see some results of haemorrhoid treatment using the RFITTH method on the website of doctor Jiri Duben – the inventor of the RFITTH method: http://www.nemocniceatlas.cz
Distributor of the equipment: http://www.bechtold.pl


Follow-up appointments:

  • A follow-up appointment is scheduled 7-10 days following the procedure;
  • Due to the chronic nature of haemorrhoids the procedure may be performed again after a while.


When should You consult a doctor after the procedure?

You should consult your doctor if any of the following symptoms occur:

  • Fever above 39oC;
  • Severe pain in anal area;
  • Increasing flatulence and stomach ache;
  • Severe pain that does not respond to painkillers;
  • Persistent nausea or vomiting;
  • Shivers.



This website describes standard aspects concerning your disease and treatment. It is not intended to replace professional medical treatment or talk between you and your surgeon about your disease and relevant treatment.

The procedure concerning disease and treatment may vary depending on a patient and a surgeon’s experience.

Should you have any queries about the laser procedure, preparation for it or postoperative treatment, a fee for surgery or cost coverage by your insurance company, do not hesitate to ask your surgeon.