For those of you that have bothersome hemorrhoids after using conservative measures such as topical creams, ointments and warm sitz baths, you may want to consider a minimally invasive procedure.
Rubber band ligation (hemorrhoid banding) is the most widely used procedure. It is painless, quick (<1min) and successful in approximately 80 percent of patients.
Rubber bands or rings are placed around the base of an internal hemorrhoid. As the blood supply is restricted, the hemorrhoid shrinks and degenerates over several days. Many patients report a sense of “tightness” after the procedure, which may improve with warm sitz baths.
Patients are encouraged to use fiber supplements to avoid constipation. Three banding sessions are performed every two weeks for removal of all three hemorrhoid columns.