Rubber Band Ligation (RBL / Banding)
A rapid in-clinic procedure that places small rubber bands at the base of internal haemorrhoids, cutting off their blood supply - causing them to shrink and fall off painlessly. No anaesthesia required for most patients. A first-line option at the best piles hospital in Hyderabad.
What is Rubber Band Ligation (RBL / Banding)?
Rubber Band Ligation (RBL), also known as haemorrhoid banding, is one of the most widely performed non-surgical treatments for internal haemorrhoids. A small elastic band is placed tightly around the base of the internal haemorrhoid using a specialised applicator - cutting off its blood supply. The haemorrhoid shrinks and detaches naturally within 5–10 days.
Dr. Samhitha Reddy performs RBL at Lux Hospitals, Hyderabad - one of the top piles hospital near Gachibowli - as a quick outpatient procedure. No anaesthesia, no hospital admission, and no preparation beyond a simple enema. It is the recommended first-line treatment for Grade I and Grade II internal haemorrhoids and a key offering at her piles clinic in Hyderabad.
Suitable for Grade I and Grade II internal haemorrhoids. Grade III may require laser or stapled procedures - Dr. Samhitha will advise during consultation.
How the Procedure Works
Clinical Assessment
Proctoscopic examination confirms haemorrhoid grade and suitability for banding. The procedure is explained and consent obtained.
Positioning & Preparation
The patient is comfortably positioned. A proctoscope provides clear visualisation of the internal haemorrhoids - no bowel preparation needed beyond an enema.
Band Application
A small rubber band is placed at the base of the haemorrhoid above the dentate line - where there are no pain fibres - using a McGivney ligator or suction bander.
Repeat Banding if Needed
Multiple haemorrhoids may be banded in the same session or across 1–2 sessions spaced 4–6 weeks apart depending on disease extent.
Discharge & Recovery
Patients leave immediately. Mild anal discomfort is common for 24–48 hours. The banded tissue detaches in 5–10 days, usually unnoticed.
Outcomes
Who Needs This Treatment?
- →No general anaesthesia or admission - a true outpatient procedure
- →Completed in under 10 minutes per haemorrhoid
- →Minimal discomfort - performed above the dentate line where pain fibres are absent
- →No incisions, wounds, or stitches - zero recovery downtime
- →Highly cost-effective and covered by most health insurance plans
- →Safe and repeatable across multiple sessions for extensive disease
Rubber band ligation is a brilliantly simple yet highly effective office procedure. Most patients are surprised by how quick and comfortable it is - they are back to their normal routine the same day with very little discomfort.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Rubber Band Ligation Cost in Hyderabad
The cost of Rubber Band Ligation in Hyderabad depends on the grade of piles, the number of haemorrhoids being treated, the number of sessions required, investigations required, and the care needed before and after the procedure.
For conditions such as Grade I and Grade II piles, the approximate cost of Rubber Band Ligation ranges between ₹10,000 and ₹25,000 per session.
| Procedure | Approximate Cost Range |
|---|---|
| Rubber Band Ligation (Banding) – Grade I–II | ₹10,000 – ₹25,000 |
The final cost may vary depending on your individual condition, the number of haemorrhoids requiring treatment, the number of sessions needed, and whether any additional procedures are required.
Factors That Influence Rubber Band Ligation Cost
The overall cost may depend on:
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Grade of piles: The severity and grade of haemorrhoids can influence whether Rubber Band Ligation is suitable and how many sessions may be required.
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Number of haemorrhoids: The number and location of haemorrhoids being treated can affect the treatment plan and overall cost.
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Pre-treatment evaluation: Required consultations, physical examinations, proctological assessments, and other investigations may affect the overall cost.
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Number of sessions: Some patients may require more than one banding session depending on the number and severity of haemorrhoids.
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Post-treatment care: Medicines, follow-up consultations, and other care recommended after the procedure may influence the final estimate.
Is Rubber Band Ligation Covered by Insurance?
Rubber Band Ligation may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, exclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
Rubber Band Ligation Treatment for Piles
- Rubber Band Ligation (Banding) is a minimally invasive treatment commonly used for Grade I and Grade II internal piles. During the procedure, a small elastic band is placed around the base of the haemorrhoid. The band restricts blood flow to the treated tissue, causing it to shrink and eventually separate.
- Rubber Band Ligation may be recommended for symptoms such as bleeding or discomfort caused by internal piles, particularly when lifestyle changes and other conservative treatments have not provided adequate relief.
- The doctor will assess the grade and condition of the piles before recommending Rubber Band Ligation. For more advanced haemorrhoids, other treatment options may be considered depending on the patient's symptoms and clinical findings.
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
Consultation for Rubber Band Ligation in Hyderabad During the consultation, Dr Samhitha, Proctology Specialist at Lux Hospitals, will evaluate your symptoms, medical history, and condition to determine whether Rubber Band Ligation is suitable for you. She will explain the treatment, expected outcomes, recovery, and other available treatment options, along with an estimated Rubber Band Ligation Cost in Hyderabad based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.