Internal Hemorhoids Removal

Haemorrhoids (often described as varicose veins of the anus and rectum) have become a much more nagging health trouble. They may be caused by a number of factors including sitting lifestyle, improper eating habits and genetic predispositions.  

Haemorrhoids considerably lower the quality of life, that is why an early diagnosis, treatment and prophylaxis play a key role.

Patient benefits:

  • Minimally invasive, non-surgical technique;
  • Rubber band ligation can be performed in an ambulatory setting;
  • No anaesthesia is required;
  • The method is effective for first- and second-degree haemorrhoids;
  • A short time of the procedure;
  • Insignificant pain sensations during and after the procedure;
  • No hospitalization is necessary and you do not have to be on a sick leave.



Eligibility for the rubber band ligation procedure is usually determined during a surgical consultation and on the basis of an anoscopy (endoscopy of the rectum) and/or colonoscopy. Patients suffering from other diseases may require opinions of other specialists.

 prof. Stanisław MolskiStanisław Molski, MD. PhD. DSc.
specialist in general and vascular surgery and angiology
michal molski - general surgeon, phlebologistMichal Molski, MD. PhD.
specialist in general surgery

Schedule your visit via e-Appointment.


Price list, refunds provided by insurance companies

  • Cost of verifying a patient’s eligibility for the procedure with anoscopic exam is 80 €
  • Cost of  the rubber band ligation procedure amounts to 400 €
  • Follow-up appointments up to 4 weeks following the procedure – free of charge.


Disease symptoms & indications for treatment:

  • Veins of anal canal bleed especially on defecation;
  • Pruritus;
  • Painful;
  • Feeling of incomplete defecation;
  • Visible mucous and skin swelling in the area of rectum.


Treatment methods:

Delaying the anal varicose veins treatment may lead to disease intensification and require a more radical treatment. There are a number of haemorrhoid treatment methods:

  • For early  stages of the disease (first-degree haemorrhoids), patients use medication therapy including pills and suppositories as well as creams of local application;
  • The rubber band ligation procedure – the so called Barron method can be applied in most cases of moderate haemorrhoidal disease (first- and second-degree);
  • More advanced cases (third- and fourth-degree) may be treated with a minimally invasive technique, that is RFTTH, or surgery may be considered. 

The rubber band ligation procedure requires bowel cleansing and to achieve that a jelly diet may be sufficient or using bowel cleansing medications.


Course of the procedure:

The rubber band ligation is a procedure in which the haemorrhoid is tied off at its base with  special rubber bands, cutting off the blood flow to the haemorrhoid which finally shrinks and dies. 

A few days following the procedure the withered haemorrhoid falls off where a rubber band was placed. This procedure is a safe and relatively painless technique of removing haemorrhoids and so no surgery is required.

Normally 3 rubber bands can be applied at a time. For more advanced haemorrhoids the procedure may be performed again after a while.

The procedure can be performed in an ambulatory setting, no anaesthesia is required and it takes only about 10 minutes.

The patient may go home right after the procedure.



  • You are likely to feel insignificant pain and minor bleeding after rubber band ligation. You may also have a sensation of fullness in the rectal canal until the tied off haemorrhoid finally falls off. You may use ibuprofen or other painkillers to solve the trouble;
  • You should prevent constipation after rubber band ligation;
  • You should prevent constipation as well as long-term defecation after rubber band ligation to avoid anal varicose veins in future. This can be achieved through applying an appropriate diet rich in fibre (vegetables, fruit, musli) and anti-constipation medication.


Follow-up appointments:

  • A follow-up appointment is scheduled 7-10 days following the procedure;
  • For more advanced haemorrhoids the rubber band ligation procedure may be performed again after a while.


When should You consult a doctor after the procedure?

You should consult your doctor if any of the following symptoms occur:

  • Fever above 39oC;
  • Severe pain in anal area;
  • Increasing flatulence and stomach ache;
  • Severe pain that does not respond to painkillers;
  • Persistent nausea or vomiting;
  • Shivers.



In order to undergo treatment in the Eskulap Hospital it is necessary to have a specialist consultation with the surgeon who performs a procedure based on an anoscopy (endoscopy of the rectum).



This website describes standard aspects concerning your disease and treatment. It is not intended to replace professional medical treatment or talk between you and your orthopaedic specialist about your disease, treatment or operation.



This website describes standard aspects concerning your disease and treatment. It is not intended to replace professional medical treatment or talk between you and your surgeon about your disease and relevant treatment.

The procedure concerning disease and treatment may vary depending on a patient and a surgeon’s experience.

Should you have any queries about the laser procedure, preparation for it or postoperative treatment, a fee for surgery or cost coverage by your insurance company, do not hesitate to ask your surgeon.