SP 5.03 Evaluation of a One-Stop Haemorrhoid Treatment Clinic for the Management of Haemorrhoidal Disease
Aseef Yehiyan, Lakshay SInglaAbstract
Problem & Background
Haemorrhoidal disease significantly impacts colorectal outpatient workloads and surgical theatre demand. While minimally invasive options like Radiofrequency Ablation (RAFAELO) and Rubber Band Ligation (RBL) can be performed under local anaesthesia Evidence describing their structured delivery within a one-stop clinic pathway remains limited.
Aim
To evaluate the effectiveness of RAFAELO and RBL and assess the benefits of a one-stop haemorrhoid treatment clinic (OSHTC) model.
Methods
This retrospective evaluation at a UK tertiary NHS hospital (January–June 2025) reviewed adult patients managed via an OSHTC. Patients underwent RAFAELO or RBL under local anaesthesia based on clinical assessment and proctoscopy. The primary outcome was the need for further intervention; secondary outcomes included symptom improvement, complications, and follow-up requirements.
Results
Of the 61 patients included, 28 (45.9%) received RAFAELO and 33 (54.1%) received RBL. Success rates—defined as no further intervention required—were 75.0% (21/28) for RAFAELO and 60.6% (20/33) for RBL. Additional treatment (repeat procedures or surgical haemorrhoidectomy) was needed in 25.0% and 27.3% of cases, respectively. All patients were reviewed via telephone at three months, with further follow-up arranged as needed.
Conclusion
Minimally invasive management via RAFAELO and RBL is feasible, showing low rates of secondary intervention. The one-stop clinic model facilitates efficient care under local anaesthesia, offering potential benefits for both patients and healthcare resource management.