Haemorrhoid Banding

Haemorrhoid Banding

Haemorrhoid Banding


Haemorrhoid banding, also known as rubber band ligation of haemorrhoids, is used to treat internal haemorrhoids. This is achieved by reducing the blood supply to the haemorrhoids with small rubber bands, causing them to shrink. It is usually performed at the same time as a colonoscopy or flexible sigmoidoscopy.


Haemorrhoid banding may be considered as a treatment option if you have small to moderate-sized symptomatic haemorrhoids causing bleeding, irritation, or hygiene issues.

If the haemorrhoids are very large, haemorrhoid banding may not be appropriate, and alternative treatments such as formal haemorrhoidectomy may be required.

Preoperative Instructions

This procedure is performed during a colonoscopy or flexible sigmoidoscopy.

Some individuals will be advised to stop taking certain medications such as blood thinners.


A proctoscope, a short tube-like instrument, may be gently inserted into the anus to provide a clear view of the haemorrhoids.

One to four small rubber bands are placed around the base of the haemorrhoids. The bands are designed to restrict the blood supply to the haemorrhoid, leading to its shrinkage.

Postoperative Instructions

After the bands are applied, you may experience a mild sensation of discomfort or a feeling of fullness in the rectum. It is essential to follow the specific post-procedure instructions, which may include dietary modifications, stool softeners, and hygiene practices to aid healing.