Hemorrhoid Banding: A non-surgical option for hemorrhoid treatment

Our practice uses the CRH O’Regan Hemorrhoid Removal System. Hemorrhoid banding, or rubber band ligation, is a fast and nonsurgical approach to hemorrhoid treatment. Unlike hemorrhoidectomy, it doesn’t require fasting, sedation or post-procedure care. And unlike home remedies that aim at providing temporary relief, banding is a more permanent option for removing hemorrhoid symptoms

Traditional Banding:

This process uses a metal-toothed clamp to grab the afflicted tissue and pull it away from the anal wall, allowing your physician to place a rubber band around the hemorrhoid. The metal device can often cause bleeding and pain. One of the criticisms of band ligation using these more traditional techniques is a higher frequency of pain after patients have been treated. With the design of the CRH O’Regan System (described below), significant pain is not a frequent problem, as less than 1% of patients treated with the CRH O’Regan System experience significant pain.

Endoscopic Banding:

This procedure is the most complicated and expensive of the banding techniques. It typically requires fasting, bowel preparation and sedation much like what is needed for colonoscopy. A flexible scope is placed inside the rectum, and a band is placed through the scope. In addition to being more expensive, time consuming and inconvenient because of the preparation required, there is also typically a higher incidence of significant pain after this type of procedure.

The CRH O’Regan System:

CRH uses a disposable ligator to create a soft, gentle suction that pulls the appropriate tissue into it. Then, the rubber band can easily and painlessly be placed around the base of the hemorrhoid, where no pain-causing nerve endings are present.

While these banding options can provide complete removal of your hemorrhoid symptoms, we believe the CRH System offers the best, quickest, safest, most effective and most comfortable solution for our hemorrhoid patients.

Quick Comparison of Different Hemorrhoid Treatments

Procedure Average Procedure Time Average Time Off Work Pain Medication Required Pre / Post
CRH O’Reagan System 30 seconds – 1 minute 0 – 1 Day No
Conventional Rubber Banding 5 – 10 minutes 0 – 3 days Often Prescribed
Infrared Coagulation (IRC) 30 seconds – 3 minutes 0 -1 day Often Prescribed
Stapled Hemorrhoidectomy 15 – 90 minutes 1 – 10 days Yes
Conventional Hemorrhoidectomy 45 – 90 minutes 10 – 14 days Yes

The CRH O’Reagan System procedure

Here’s what to expect on your first visit:

During your appointment

First, your physician will examine you and confirm your diagnosis. If he or she determines a CRH System hemorrhoid banding procedure is right for you, you may begin treatment right away, or on a subsequent visit.

During the brief and painless banding procedure, your physician will use a gentle suction device to place a small rubber band around the base of the internal hemorrhoid where there are no pain-sensitive nerve endings. The whole thing typically takes less than 60 seconds.

After the Hemorrhoid Banding Treatment

Once the band is in place, it cuts off the blood supply to the hemorrhoid, causing the banded tissue to fall off, typically within a few days. You will likely not notice when this happens. The hemorrhoid will shrink, relieving your symptoms.

During the first 24 hours, you may experience a feeling of fullness or a dull ache in the rectum, but over-the-counter pain medication will provide sufficient relief.

If you have multiple hemorrhoids, you’ll likely need to come back to treat each one separately – that way, your doctor can monitor your treatment and ensure the complication rate is kept to an absolute minimum.

Recovering from Hemorrhoid Banding:

Once your doctor’s visit is complete, there are typically no restrictive hemorrhoid recovery regimens to follow. You can resume your normal activities as tolerated. Simply avoid heavy lifting, rigorous exercise and similarly strenuous activity on the day of your treatment. You can resume all normal activity the next day.

You can have normal bowel movements during hemorrhoid recovery, though you may want to soak in a sitz bath (a warm tub with a tablespoon of table salt added) or use a bidet for a gentler cleansing of the anal opening.

Preventing future hemorrhoids

After recovery, we recommend making some changes to help prevent future problems. To prevent hemorrhoids, you should avoid straining during bowel movements. Some tips include:

  • Drink a lot of fluids. Unless your medical condition prohibits it, you should consume six to eight 8 ounce glasses of water each day.
  • Women should consume 20 to 25 grams of fiber daily and men at least 30 to 35 grams daily. We recommend a fiber supplement to help attain this fiber intake, such as two tablespoons of natural oat or wheat bran, Metamucil, Benefiber, flax or other soluble fiber.
  • Do not sit longer than two minutes on the toilet. If you can’t have a bowel movement in that time, come back later. This “two-minute” rule can help keep you from straining during bowel movements without realizing it.
  • During air travel, be sure to stay hydrated, avoid alcohol, eat fiber and walk around when you can.
If you have any questions, or would like to schedule an appointment, please call(877) 891-ENDO (3636), or fill out our online contact form here.