Rubber Band Ligation for Hemorrhoids

Rubber band ligation is one of the most common office procedures used to treat internal hemorrhoids. It is a minimally invasive treatment designed to cut off the blood supply to hemorrhoidal tissue, causing the hemorrhoid to shrink and eventually fall off.

The procedure is typically used for symptomatic internal hemorrhoids, especially when patients experience bleeding, prolapse, or irritation that does not improve with conservative treatment.

How Rubber Band Ligation Works

During the procedure, a small rubber band is placed around the base of the hemorrhoid. This band stops blood flow to the hemorrhoidal tissue.

Within several days:

• the hemorrhoid shrinks
• the tissue dries out
• the hemorrhoid falls off naturally

The remaining area heals with scar tissue, which helps prevent recurrence.

What Happens During the Procedure

Rubber band ligation is usually performed in a doctor’s office.

Steps typically include:

1. The patient lies comfortably on the examination table.
2. A small instrument called an anoscope is used to view the hemorrhoid.
3. A specialized device places a rubber band around the hemorrhoid base.

The procedure usually takes only a few minutes.

Because internal hemorrhoids have few pain-sensitive nerves, the procedure is generally well tolerated without anesthesia.

Who Is a Good Candidate?

Rubber band ligation is most effective for:

• Grade I internal hemorrhoids
• Grade II internal hemorrhoids
• Some Grade III hemorrhoids

It may be recommended for patients experiencing:

• rectal bleeding
• prolapse during bowel movements
• persistent hemorrhoid symptoms

Recovery After Rubber Band Ligation

Most patients return to normal activities the same day.

Common temporary symptoms include:

• mild pressure or discomfort
• a feeling of fullness in the rectum
• minor bleeding several days later

These symptoms typically resolve quickly.

Benefits of Rubber Band Ligation

Advantages include:

• minimally invasive treatment
• performed in the office
• short recovery time
• highly effective for internal hemorrhoids

Many patients experience significant symptom relief.

When Is Surgery Needed Instead?

Surgical procedures such as hemorrhoidectomy may be recommended if hemorrhoids are very large or if symptoms persist despite office treatments.

Learn More About Hemorrhoids

You may also explore these guides:

• Hemorrhoids Overview
• Hemorrhoids Symptoms
• Hemorrhoids Procedures
• Hemorrhoids FAQ
• Hemorrhoids Images & Diagrams