Hemorrhoidal Band Ligation

CRH O'Regan System for Hemorrhoid Treatment - Practice Edition

Our physicians use the patented and proprietary CRH O’Regan System for the treatment of internal hemorrhoids.  This highly effective (99.1%), minimally invasive procedure is performed in our offices in less than a minute. We make recommendations to reduce the chance of recurrence later (currently 5% in 2 years). If there are multiple hemorrhoids, we treat them one at a time in separate visits.


During the brief and painless procedure, the physician places a small rubber band around the tissue just above the internal hemorrhoid where there are few pain-sensitive nerve endings.  Unlike traditional banding techniques that use a metal-toothed clamp to grasp the tissue, we use a gentle suction device, reducing the risk of pain and bleeding.  Advanced cases where the diagnosis is both internal and external hemorrhoids may require additional therapy as rubber banding alone may not be suitable.

Our banding procedure works by cutting off the blood supply to the hemorrhoid.  This causes the hemorrhoid to shrink and fall off, typically within a day or so.  You probably won’t even notice when this happens or be able to spot the rubber band in the toilet.  Once the hemorrhoid is gone, the wound usually heals within one to five days.

During the first 24 hours, some patients may experience a feeling of fullness or a dull ache in the rectum.  This can typically be relieved with an over-the-counter pain medication.  However, a remarkable 99.1% of patients treated with our method have no post-procedure pain.