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Rubber Band Ligation

Medically reviewed by Last updated on Apr 2, 2024.

What do I need to know about rubber band ligation?

Rubber band ligation (RBL) is an outpatient procedure to remove internal hemorrhoids.

How do I prepare for RBL?

Your healthcare provider will talk to you about how to prepare for the procedure. There is usually little to no preparation needed for this procedure.

What will happen during RBL?

You do not need any anesthesia or sedation for RBL. You should not feel pain during the procedure. You healthcare provider may insert an anoscope into your anus. An anoscope is a small tube with a camera and light on the end. He or she will insert a small tool to place a medical rubber band at the base of one or more hemorrhoids. The band will cut off the blood supply to the hemorrhoid. The hemorrhoid and band will fall off and come out with your bowel movement in 5 to 7 days. You may feel a dull ache or feeling of pressure for up to 3 days after the procedure.

What are the risks of RBL?

You may bleed more than expected or develop an infection. You may have pain or swelling. The band may not be placed correctly. You may develop trouble urinating.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.