Rubber Banding Ligation is recommended as the initial mode of therapy for hemorrhoids

Hemorrhoids are the most common anorectal disorder in the Western World and are a major cause of rectal bleeding. Many treatment options have been proposed and tried for early-stage hemorrhoids. There is general agreement that Rubber Banding Ligation (RBL)is safe and effective.

A method that could restore anal cushions to their normal size and position would be naturally preferred to methods that destroy tissue and interfere with the mechanisms of continence. Nonoperative treatment is recommended for patients with symptoms caused by grade 1 to 3 hemorrhoids. Rubber Banding Ligation (RBL) is recommended as the initial mode of therapy for hemorrhoids of grade 1 to 3.

This study confirms that the technique is quick, safe and effective in our population. The mean time required for onesession was 6.2 min; the longest was 10 min.

No major complications were noted. Minor early and late bleeding reported, but none was severe. Pain occurred in 6.7%, but was not severe.Urinary retention may occur in 10% to 50% of patients after surgical hemorrhoidectomy. There were no episodes of urinary retention or sepsis in tested group.