Hemorrhoidal ligation, or banding, is a procedure done endoscopically or in the office to treat hemorrhoids that do not respond to medical management (constipation management, sitz bath, topical therapies). Not all hemorrhoids can be banded, so your doctor will help you determine if this treatment is right for you. Patients can develop recurrent hemorrhoids, so treating the underlying cause of hemorrhoids is important.
Small rubber bands are placed at the base of the hemorrhoid to stop blood flow to this dilated vein. It will eventually dry up and fall off on its own. The procedure usually takes a few minutes and is typically performed without general sedation, so you can drive yourself home.
How to prepare for hemorrhoidal banding?
Patients may need to clean the rectum using an enema prior to procedure. You may need to stop aspirin or blood thinners prior to this procedure. Please tell your doctor all medications and medical problems you may have.
Patients who develop any of these side effects should contact their doctor immediately:
- Abdominal or rectal pain
- Urinary retention