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 clinics 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.
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
Common Questions
Frequently Asked
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.