Hemorrhoid Banding

In our office we use the patented and proprietary CRH O’Regan System, considered the “gold standard” treatment. 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, our physician specialist 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 in a week or two.

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 99.8% of patients treated with our method have no post-procedure pain.

In fact, thanks to design improvements, our procedure has a ten-fold reduction in complications compared to traditional banding

For one, our instruments are smaller, affording greater comfort for patients and better visibility for physicians.  Unlike other devices, they are single use and 100% disposable.

According to the Centers for Disease Control, healthcare-associated infections (HAIs)—those acquired by patients receiving treatment or healthcare professionals on the job—account for an estimated 2 million infections, 90,000 deaths and $4.5 billion in excess health care costs annually.

The first appointment will consist of, at minimum, a consultation with a board-certified specialist.  During diagnosis, the physician may perform a digital exam as well as sigmoidoscopy, a visual examination of the lower bowel using a lighted tube connected to an eyepiece.

If the diagnosis is hemorrhoids, treatment can start immediately.  In the event of multiple hemorrhoids, often the largest, most symptomatic hemorrhoid is banded first.  Additional appointments are then scheduled to treat the remaining hemorrhoids at one to two week intervals with a final check-up and optional colorectal cancer screening three weeks later.

Sometimes patients have both an anal fissure and hemorrhoids Our ligation system allows us to frequently begin concurrent treatment of both conditions allowing for a quicker recovery.

After Care

Following hemorrhoid banding, we recommend that you rest at home for the remainder of the day and resume full activity the next day.  You can have normal bowel movements during this time, but you may want to soak in a sitz bath (a warm tub with a tablespoon of table salt added) or use a bidet for a gentler cleansing of the anal opening.

Soon you’ll be feeling much better, but you’ll need to make some changes to prevent future problems.  Straining due to constipation should be diligently avoided, so be sure to drink seven or eight glasses of water (around 50 ounces) a day and add two tablespoons of natural oat or wheat bran to your diet.  (Metamucil, Benefiber, flax or other soluble fiber may be helpful as well.)

We also recommend that you not sit longer than two minutes on the toilet.  If you can’t have a bowel movement in that time, come back later.  This two-minute rule can help keep you from straining during bowel movements without realizing it.  Finally, when traveling by air, stay hydrated, avoid alcohol, eat fiber and walk around when you can.

The CRH-O’Regan Disposable Hemorrhoid Banding System is appropriate for an estimated 90% of hemorrhoid patients.  Only the most severe cases require surgery (hemorroidectomy), which is just one more reason not to delay treatment. If you wait too long—and your hemorrhoids grow too large—your non-surgical options decrease.

The chief complaint about conventional rubber banding—which demonstrates superior long-term efficacy over other non-surgical methods—has been pain in 4-29% of cases.  In contrast, only 0.2% of patients treated with our advanced technique experience post-procedure pain.  Our method is also faster, more accurate and has virtually no downtime.

Over the years, a number of new treatments have been devised for hemorrhoids, but none has outperformed the CRH-O’Regan System.  Among them are infrared photocoagulation, or the use of lasers to burn the hemorrhoid tissue, and stapled hemorroidectomy, a surgical variation that uses a circular stapler device to lift and remove the hemorrhoid.

Hemorrhoid Classification

Class I– Hemorrhoid bleeds but doesn’t prolapse outside the anal canal
Class II – Prolapses, usually with defecation, but retracts spontaneously
Class III – Requires manual replacement into the anal canal after prolapsing
Class IV – Prolapsed tissue cannot be manually replaced and is typically strangulated or thrombosed

For more information about the CRH O’Regan System please visit  www.crhsystem.com.