It cannot be used for the treatment of external hemorrhoids. Placement of a rubber band around a portion of a hemorrhoid causes it to lose its blood supply so that the tissue dies and falls off after 7-10 days. The tissue and rubber bands are passed with a bowel movement and usually are not seen. The goal of this treatment is to eliminate your hemorrhoidal symptoms, not to eliminate the hemorrhoids.
Hemorrhoids are a normal part of our body.
Only one hemorrhoid is banded at a session. The procedure may need to be repeated until symptoms are controlled. In some cases rubber bands will not be able to eliminate the symptoms and alternative treatments will need to be discussed. I do not require any specific preparation prior to performing the procedure. An enema is not necessary unless instructed to do so.