How It Works

  • Through a small instrument (proctoscope), the internal pile is identified
  • A specially designed applicator places a small elastic band at the base of the pile
  • The band cuts off blood supply
  • Over 5 to 10 days, the pile tissue dies and sloughs off during a bowel movement, usually unnoticed
  • Healthy tissue heals in place

What to Expect

During Procedure (10 to 15 minutes): you lie on your side or in knee-chest position, the proctoscope is gently inserted (uncomfortable but not painful), bands are applied to one or two piles per session, you leave immediately after.

After: sensation of fullness for a few hours, mild discomfort for 24 to 48 hours, small amount of bleeding around day 5 to 10 is normal (when the pile sloughs), return to work next day.

Suitable For

  • Grade I piles
  • Grade II piles
  • Selected Grade III piles

Not suitable for:

  • External piles (band placement causes significant pain externally)
  • Thrombosed piles
  • Grade IV permanently prolapsed piles

Sessions Needed

Usually 1 to 3 sessions spaced 2 to 4 weeks apart, depending on the number and size of piles.

Advantages

  • Office procedure
  • No anaesthesia
  • No cutting
  • Same-day discharge
  • Effective for suitable cases
  • Repeatable