Rubber band ligation (RBL) is a procedure where elastic bands are applied to the internal haemorrhoid at least 1 cm above the dentate line. These eventually slough off within a week. This is a painless procedure unless the band is placed too close to the dentate line. If this occurs, intense pain may result.
Rubber Band Ligation (RBL) of internal haemorrhoids.
This convenient and relatively non-invasive procedure is successful in the short-term in over 70% of cases. Recurrence remains as high as 30%.