Hemorrhoid Banding Ligation

Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid. This treatment is only for internal hemorrhoids.

To do this procedure, a doctor inserts a viewing instrument (anoscope) into the anus. The hemorrhoid is grasped with an instrument, and a device places a rubber band around the base of the hemorrhoid. The whole thing typically takes less than 60 seconds.

The hemorrhoid will shrink, die, and fall off in a few days.

A scar will form in place of the hemorrhoid, holding nearby veins so they don’t bulge into the anal canal.

The procedure is done in a doctor’s office. After the procedure, you may experience a feeling of fullness or a dull ache in the rectum, but over-the-counter pain medication will provide sufficient relief. Or you may feel as if you need to have a bowel movement.

Treatment is limited to 1 to hemorrhoids at a time. If you have multiple hemorrhoids, you’ll likely need to come back to treat each one separately – that way, your doctor can monitor your treatment and ensure the complication rate is kept to an absolute minimum. Additional areas may be treated at 4- to 6-week intervals.

After your Hemorrhoid Banding Appointment, recovery is easy.