Rubber Band Ligation (RBL)This hemorrhoid cure involves the placement of small latex rubber bands around the base of grades 2 – 4 hemorrhoid tissues. Grade one hemorrhoids are not big enough to be grasped by the bands. RBL is done right in the doctor’s office and is quick and effective. Most patients return right back to work after their treatment.

What is the best hemorrhoid cure? There is none better than the ligation or banding technique. This technique allows for a very even grasping pressures and restricts the “over grab” of tissues by limiting the amount of tissue that can be placed within the banding instrument. The underlying nerve is not disturbed. Most people state this is only a 1-2 on a 1-10 scale. Well over half of the patients do not require even Tylenol after the bands are placed.

But how long do hemorrhoids last? Once the rubber band is in place, the tissue begins a dying process that may take 1-10 days to fall off. This forms a scab on the rectal wall that sloughs in another week. Start to finish healing is anywhere from 2 to 3 weeks so patients are usually scheduled for their return visit after that healing time frame.

Recurrence rates of hemorrhoids seem to be higher with those requiring RBL treatment. Not because this is an ineffective treatment but that a patient in this situation has more stretchy tissues or is at a more advanced disease state and has worn the elasticity of the tissue down considerably over time. This is due to the stretching of the vessel walls after an increase in rectal venous pressure. Much like varicose veins and similar in physiologic nature, the weakening of the hemorrhoid walls cause continued bulge and stretch over time and formation of new bulging hemorrhoids or recurrence of past treatment areas. Rubber Band Ligation is a very effective office treatment and has much less risk than surgery. Often times, this can be combined with IRC to provide maximal improvements with minimal side effects and minimal down time.