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.
- 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.
| Stanisław Molski, MD. PhD. DSc.
specialist in general and vascular surgery and angiology
|Michal 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;
- Feeling of incomplete defecation;
- Visible mucous and skin swelling in the area of rectum.
- 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:
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.
- 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?
- 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;
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).
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.