Hemorrhoid Banding (Rubber Band Ligation)

Here is what you can expect from hemorrhoid banding:

1. Your provider inserts an anoscope into your anus (butthole). This is a thin, hollow tube with a light at the end.
2. They insert a tool called a ligator through the anoscope. A ligator has forceps (a scissor-like tool) on the end that allow your provider to grasp the hemorrhoid. It also has a cylinder with rubber bands on the end. Many providers use a suction device to “suck” the hemorrhoid into the cylinder.
3. Once they grasp the hemorrhoid with the forceps, your provider slides the cylinder up over the hemorrhoid. Then, they push the rubber bands off the cylinder onto the base of the hemorrhoid.
4. They’ll remove the ligator and anoscope from your anus.

The procedure takes less than five minutes. If you have several hemorrhoids, you may need a follow-up appointment to treat them. Your provider may only treat one or two hemorrhoids with banding at a time.

The rubber band cuts off the hemorrhoid’s blood supply. This causes it to shrivel up and fall off, usually within one week. A scar will form where the hemorrhoid was.

Some other things you can expect after are:

• You may feel like you have to poop after the procedure. Ask your provider what to expect from your first bowel movement. They may suggest taking a stool softener to make it easier.
• It’s normal to feel a little pain or fullness in your lower abdomen. Ask your provider about your options for pain relief as you recover.
• You may notice bleeding from your anus when the hemorrhoid falls off.

You can usually go back to your usual activities right after hemorrhoid banding. Some people need to take it slow for a day or two.