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Proctology · HAL-RAR

Haemorrhoid prolapse: repositioning without excision

HAL-RAR technique (Doppler-guided artery ligation) in Cluj-Napoca

When haemorrhoids prolapse, the right treatment can return the tissue to its place without painful excision. HAL-RAR ties off the arteries feeding the haemorrhoids and repositions the lining.

What to expect, step by step

1

Consultation

We assess the stage of the prolapse and discuss whether HAL-RAR is right for you.

2

Procedure

The haemorrhoidal arteries are ligated under Doppler guidance and the mucosa is repositioned, without classical excision.

3

Recovery

Minimal discomfort and a fast return to usual activities, as a day case.

At a glance

DurationAbout 30–45 minutes
AnaesthesiaSpinal / local
Hospital stayNone — day case
Back to work1–3 days (light activity)

Frequent questions

Does it hurt?

Without classical excision, post-operative pain is generally low. Most patients use only mild painkillers.

What does 'without excision' mean?

Instead of cutting tissue, HAL-RAR ties off the arteries feeding the haemorrhoids and repositions the lining, which reduces pain.

How long is recovery?

You usually return to light activities within 1–3 days, with a few days of taking it easy.

How much does it cost?

The cost depends on the stage. We set it transparently at the consultation.

Can the symptoms return?

The risk of recurrence drops with the right treatment and a few simple preventive habits.

Book a consultation

We'll discuss the stage of the prolapse and the right solution.