Rubber Band Ligation

Rubber Band Ligation is a second line hemorrhoid treatment for less severe internal cases.


Rubber Band Ligation for hemorrhoids takes its name from the procedure, which involves the application of tight rubber bands to the affected areas. This cuts off the blood supply to the hemorrhoids, resulting in them shrinking and ‘dying away’ within a few days of treatment.

It is performed with a proctoscope and an instrument called a ligator, which are inserted into the anal cavity. The procedure doesn’t require sedation or anesthetic.

The success rate varies between 69% and 94% and is usually confined to no more than three outpatient visits, with a six week rest period between rubber band ligation treatments.

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Advice concerning rubber band hemorrhoid treatment

  • It is recommended you avoid driving immediately after rubber band ligation treatment
  • You may experience slight discomfort following the procedure
  • Sitting in a bath of warm, salty water can help relieve discomfort and aid the healing process. You should do this on a daily basis, in the weeks immediately following rubber band hemorrhoid treatment
  • You may notice bleeding following bowel movements, this is normal and generally lasts for two to three weeks after the procedure. In the event the bleeding becomes heavy, you should seek immediate medical advice
  • Normal activities can be resumed on the day following rubber band ligation surgery
  • The need to open your bowels may arise immediately after the treatment, which is normal and can last for 12-24 hours

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