403 408 9998
Phone
Location
Rockview Health Centre - Building 1, Calgary
403 408 9998
Phone
Location
Rockyview Health Centre – Building 1, Calgary
Phone
Rockview Health Centre - Building 1, Calgary
Phone
Rockyview Health Centre – Building 1, Calgary
A quick, non-surgical rubber band ligation treatment for selected internal hemorrhoids
At AC Hemorrhoids & Anorectal Centre in Calgary, CRH O’Regan® banding may be considered for selected patients with bleeding, prolapse, or recurrent internal hemorrhoid symptoms.
CRH O’Regan® banding uses gentle suction to place a small rubber band around selected internal hemorrhoidal tissue, reducing its blood supply so the treated hemorrhoid can shrink and separate naturally.
Banding works best for selected internal hemorrhoids. An assessment can help determine whether banding, Rafaelo®, or another treatment option is more appropriate.
CRH banding may be considered when internal hemorrhoid symptoms continue despite conservative care.
Symptoms and treatment history may include:
Another treatment may be more appropriate when there is:
Rafaelo® may be considered for:
If banding is not suitable, another treatment may be considered based on the hemorrhoid type and severity.
May not be suitable when there is:
No fasting or special bowel preparation is usually required. Maintain soft bowel movements, stay hydrated, and review medications with your provider.
A small rubber band is placed around selected internal hemorrhoidal tissue using gentle suction. The actual band placement is brief and no sedation is typically required.
Patients go home the same day with post-procedure instructions. Mild pressure or discomfort may occur, and additional banding sessions may be arranged when needed.
Find Out if Hemorrhoid Banding Is Right for You.
Our team can assess your hemorrhoid type, degree of prolapse, symptoms, and previous treatment history to determine whether CRH O’Regan® banding may be appropriate.
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What Happens Next?
After you submit the form, our team will contact you as soon as possible, provide any additional information you may need, and help schedule your appointment.
The goal is to confirm that your symptoms are caused by internal hemorrhoids, assess the degree of prolapse, and determine whether banding is the most appropriate treatment option.
Medical & Symptom Review of bleeding, prolapse, pressure, bowel habits, symptom duration, previous treatments, and relevant medical history.
External Examination to assess external hemorrhoids, skin tags, prolapse, thrombosis, or other visible anorectal findings.
Digital Rectal Examination (DRE), when appropriate, to assess the anal canal, tenderness, muscle tone, and other findings that may affect treatment planning.
Anoscopy to assess internal hemorrhoid size, location, degree of prolapse, bleeding, and whether the internal hemorrhoids are suitable for banding ligation treatment.
Hemorrhoid banding may be available through publicly funded care in Alberta. At AC Hemorrhoids & Anorectal Centre, patients can access private assessment and a full hemorrhoid treatment pathway from mild to more advanced disease..
CRH O’Regan® banding is a clinic-based rubber band ligation treatment for selected internal hemorrhoids. A small band is placed around the base of the hemorrhoidal tissue to reduce its blood supply so the tissue can shrink and separate naturally.
Rubber band ligation is another name for hemorrhoid banding. A small rubber band is placed around selected internal hemorrhoidal tissue to reduce blood flow and allow the hemorrhoid to shrink.
Banding may be appropriate for selected patients with bleeding internal hemorrhoids, mild-to-moderate prolapse, recurrent symptoms, or symptoms that have not improved with conservative care.
No. Banding is used for selected internal hemorrhoids. External hemorrhoids, thrombosed external hemorrhoids, or significant external disease usually require a different treatment approach. management therapies. Rafaelo uses relatively low power—similar to small electronic
devices—but delivers it in a very precise and controlled way to treat only the hemorrhoid.
Most patients tolerate banding well. Pressure, fullness, or mild discomfort can occur. Significant sharp pain is not expected and should be reported.
Sedation is typically not required, and local anesthesia is usually not needed for properly selected internal hemorrhoid banding.
The actual band placement is very brief. The appointment also includes assessment and treatment planning.
Special fasting or colonoscopy-style bowel preparation is usually not required. Patients are generally advised to maintain soft, regular bowel movements and follow any clinic-specific instructions.
Yes, same-day banding may be available when the examination confirms that banding is appropriate.
This depends on the number, size, location, and clinical findings. Some patients may have more than one hemorrhoid treated, while others may need staged sessions.
Possibly. Internal hemorrhoids can occur in multiple locations, and additional sessions may be needed depending on the treatment plan and response.
The treated tissue generally shrinks and separates naturally over the following days. Many patients do not notice exactly when this occurs.
A small amount of spotting or bleeding can occur, especially when the treated tissue separates. Heavy, persistent, or worsening bleeding should be reported.
Many patients return to normal light activities quickly, sometimes the same day. Recovery varies depending on symptoms and the type of work performed.
Patients are generally advised to avoid straining, constipation, prolonged toilet sitting, and heavy exertion if instructed. Keeping stools soft and staying hydrated are important.
Yes. Recurrence is possible, especially if constipation, straining, or other contributing factors continue.
If symptoms persist after previous banding, another treatment option may be more appropriate depending on the hemorrhoid size, prolapse, external component, and overall clinical findings.
Banding is generally used for selected internal hemorrhoids, while Rafaelo® may be considered for selected larger, more persistent, or prolapsing internal hemorrhoids. An assessment helps determine which treatment is more suitable.
Alternative options may include Rafaelo® radiofrequency treatment, selected clinic-based procedures, or referral for more extensive surgery when needed.
Yes. Out-of-town patients can contact the clinic before travelling. Virtual consultation, treatment planning, fee estimates, and same-visit assessment and banding may be arranged when appropriate.
An anorectal assessment helps determine whether your symptoms are caused by internal hemorrhoids and whether banding, Rafaelo®, or another treatment option is most appropriate.