✦ OFFICE-BASED PILES TREATMENT

Rubber Band Ligation (RBL / Banding)

Q: Is rubber band ligation painful?

The procedure is virtually painless because bands are placed above the dentate line, where there is no pain sensation. Mild fullness or pressure for a day or two is normal and easily managed.

Q: How many sessions will I need?

Most patients need 1–3 sessions, spaced 2–4 weeks apart, depending on the number and grade of haemorrhoids. Each session is quick and well tolerated.

Q: I am very nervous about this — is it really painless?

Yes. RBL is one of the most patient-friendly proctology procedures. As a female proctologist, Dr. Tejasree understands the anxiety many women feel and ensures the consultation, examination and procedure are private, gentle, and reassuring at every step.

Q: Will piles come back after RBL?

Most patients enjoy long-term relief, especially when combined with high-fibre diet, adequate hydration, and avoiding straining. New haemorrhoids can occasionally form and may be treated with another session if needed.

Quick office procedure to treat early piles by placing tight rubber bands around the base of haemorrhoids — cuts off blood supply, no cuts, no admission, with same-day return to routine.

10–15 min PROCEDURE

Office Procedure SETTING

>85% SUCCESS RATE

Same Day RETURN TO ROUTINE

What is Rubber Band Ligation (RBL / Banding)?

Rubber Band Ligation (RBL), also known as banding, is a quick, effective office-based procedure for grade 1, grade 2 and selected grade 3 internal piles. Tight rubber bands are placed around the base of the haemorrhoid using a specialised applicator, cutting off its blood supply. The haemorrhoid shrinks and falls off naturally over 5–7 days. There are no cuts, no anaesthesia, no hospital admission, and most patients return to routine activities the same day. As an experienced female proctologist in Hyderabad, Dr. Tejasree Vengala performs RBL at Lux Hospitals, Hyderabad, with discreet, dignified, sensitive care.

Suitable for grade 1, grade 2 and select grade 3 internal piles with bleeding, mild prolapse, or persistent symptoms despite dietary measures and medication.

How the Procedure Works

Examination & Positioning

A gentle proctoscopic examination identifies the haemorrhoids. The patient lies in a comfortable position.

Proctoscope Insertion

A small, well-lubricated proctoscope is inserted to clearly visualise the internal haemorrhoids.

Band Application

A specialised applicator places one or two tight rubber bands around the base of the haemorrhoid above the dentate line — this area has no pain sensation.

Quick Completion

The procedure typically takes 10–15 minutes and is virtually painless. Multiple haemorrhoids may need separate sittings.

Post-Procedure & Discharge

The patient is observed for a few minutes and discharged immediately. Diet, medications and follow-up advice are given clearly.

Outcomes

10–15 minDURATION

OfficeSETTING

>85%SUCCESS RATE

Same DayRETURN TO ROUTINE

Who Needs This Treatment?

→No cuts, no stitches, no anaesthesia
→Quick office procedure with same-day discharge
→Effective for grade 1–3 internal piles
→Significantly reduces bleeding and discomfort
→Multiple sittings possible if needed
→Discreet, dignified care by a female proctologist

For so many women, the hardest part of treating piles is finding the courage to consult someone — let alone be examined. Rubber band ligation lets me reassure them with a quick, gentle, painless procedure. They walk out the same day, often surprised at how simple it was.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is rubber band ligation painful?+

How many sessions will I need?+

I am very nervous about this — is it really painless?+

Will piles come back after RBL?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

WhatsApp Us ← Back to Treatments