Hemorrhoid Banding

What is Hemorrhoidal Banding?

Hemorrhoid banding is a procedure used to treat internal hemorrhoids. It works by placing rubber bands on the base of hemorrhoids, which cut off its blood supply. Hemorrhoids then shrink and slough off in about 1 week.

How Does One Prepare for Hemorrhoidal Banding?

The procedure can be performed in the doctor’s office or in the ambulatory endoscopy center. It can be performed in conjunction with other procedures such as an endoscopy or colonoscopy. The only preparation that is sometimes required is an enema before the procedure unless the hemorrhoid banding is being done with a colonoscopy in which case the colonoscopy preparation is adequate.

How is Hemorrhoidal Banding Performed?

Another option available for treating hemorrhoids involves a technique called ‘banding’. This is a more permanent solution that takes care of the problem – not just the symptom. The procedure involves the use of small rubber bands that are placed around the hemorrhoid cutting off its blood supply and effectively removing them. This procedure can be done easily in the office without the need for anesthesia and takes less than 15 minutes.

In our office, we use the CRH O’Regan System which is a comfortable and simple method for treating hemorrhoids. Ask our doctors if you are a candidate for this procedure.

What Happens After the Hemorrhoidal Banding is Done?

The procedure is generally well tolerated by patients. Pain around the anus is common and can last a few days. Bleeding from the anus can occur up to 7 to 10 days after the procedure, but usually will stop on its own without any further treatment. After hemorrhoid banding, physicians generally will advise patients to take stool softeners and fiber supplements to prevent straining and constipation, which can aggravate hemorrhoids. To relieve any discomfort from the procedure, patients can take a sitz bath (sit in warm tub of water for 15 minutes) and mild pain relievers to relieve any discomfort from the procedure.

What are the Risks Associated with Hemorrhoidal Banding?

Risks from rubber band ligation of hemorrhoids are low, but can include bleeding or infection at the anus, anorectal pain, or a temporary inability to urinate.