Hemorrhoid Artery Embolization vs Banding: What Is the Difference?

Two commonly used, minimally invasive techniques for treating hemorrhoids are hemorrhoid artery embolization (the Emborrhoid technique) and rubber band ligation (banding). Understanding the differences between these treatments can help patients choose the best option for their needs.
 
Hemorrhoid Artery Embolization

Hemorrhoid artery embolization is a state-of-the-art procedure performed by our expert interventional radiologists. During this outpatient procedure, a catheter is gently inserted—usually through the groin or wrist—and guided under imaging to the arteries that supply blood to the hemorrhoids. Tiny particles are then released to block these arteries, significantly reducing blood flow and causing the hemorrhoids to shrink and symptoms to improve over time. This approach is especially effective for internal hemorrhoids that are causing persistent or severe bleeding, particularly in patients who have not responded to more traditional therapies or wish to avoid surgery.
 
How Banding Differs

Rubber band ligation, or banding, is another minimally invasive option but is generally performed by gastroenterologists or colorectal surgeons, not by interventional radiologists like those at Alate Health. In this procedure, a small rubber band is placed at the base of the internal hemorrhoid, cutting off its blood supply so that it withers and eventually falls off. Banding is most suitable for grade I to III internal hemorrhoids and is considered a first-line treatment for many straightforward cases.
 
The main difference between these two procedures is in the approach: hemorrhoid artery embolization, performed here at Alate Health, targets the hemorrhoidal arteries from within, using advanced imaging for precision and effectiveness, and is particularly beneficial for patients with complex or recurrent cases. Banding, on the other hand, physically constricts the hemorrhoid itself via a rubber band and is more commonly used for less severe cases.

If you have been struggling with persistent hemorrhoid symptoms or bleeding and are interested in the latest minimally invasive solutions, Alate Health’s expertise in hemorrhoid artery embolization may offer the relief you’ve been seeking—without the need for surgery.

Rubber Band Ligation (RBL):

Banding is generally effective for moderate internal hemorrhoids, with minimal downtime and a strong safety record. However, for larger, prolapsed, or more severe hemorrhoids—or in cases where previous treatments have failed—banding may be less successful and recurrence rates can be higher.
 
Hemorrhoidal Artery Embolization (HAE):

This approach is especially effective for patients with more severe or persistent hemorrhoidal disease, those who have not responded to conventional therapies, or individuals who may not be ideal candidates for surgery due to other health concerns.
 
Recent studies show that embolization not only provides significant symptom relief but also has a lower risk of recurrence and fewer complications—such as pain or incontinence—compared to traditional surgical options. HAE is an excellent option for grade III and IV hemorrhoids or for patients who have not achieved adequate results with banding.

Hemorrhoid Artery Embolization (HAE)

As with any medical procedure, there are some risks, including pelvic pain, minor bleeding, or infection, and in rare cases, more serious complications such as non-target embolization or tissue injury. At Alate Health, our team utilizes the latest imaging technology and a patient-centered approach to minimize these risks and ensure optimal outcomes.
 
Rubber Band Ligation (Banding)

Rubber band ligation is quick and typically well tolerated, with mild discomfort and minor bleeding being the most common side effects. Although rare, more significant complications can occur, and our team is equipped to manage any issues that may arise.
 
Both HAE and banding are safe and effective when performed by skilled professionals. At Alate Health, our mission is to provide personalized, minimally invasive care that helps you return to your normal activities as quickly and comfortably as possible.

Hemorrhoid artery embolization (HAE) and hemorrhoid banding, both offer effective relief, but they differ in technique and recovery time—factors our experienced team will discuss with you to determine the best option for your needs.
 
Hemorrhoid artery embolization (HAE) is an innovative radiological procedure performed by our board-certified interventional radiologists. During HAE, we use image guidance to precisely block the arteries supplying blood to the hemorrhoids, causing them to shrink gradually. Because this technique doesn’t involve direct manipulation of the anal tissue, patients usually experience minimal discomfort. Most of our patients return to their normal daily activities within just one to three days, and significant pain is uncommon. HAE typically results in less irritation, swelling, and postoperative discomfort compared to other treatments.

Alternatively, hemorrhoid banding (rubber band ligation), a well-established procedure in which a small rubber band is placed around the base of the hemorrhoid to cut off its blood supply. While this method is also effective, the recovery period can be a bit longer. Patients may experience moderate discomfort, a sensation of fullness, or pain—especially during bowel movements—for several days following banding. Most people can return to work and regular activities within two to four days, but complete healing may take one to two weeks.
 
Recovery after hemorrhoid artery embolization is generally faster and associated with less discomfort than after hemorrhoid banding. However, individual experiences can vary based on the severity of hemorrhoids and your overall health. Our dedicated specialists will work with you to determine the most appropriate treatment and help you understand what to expect during your recovery.

At Alate Health in Houston, TX, we offer Hemorrhoid Artery Embolization (HAE), a cutting-edge, minimally invasive treatment that effectively relieves symptoms of internal hemorrhoids. By blocking the blood flow to the hemorrhoidal arteries, this procedure reduces pain and discomfort, promoting faster recovery with less invasiveness compared to traditional surgery.

Dr. Andrew Doe MD, a skilled interventional radiologist, has extensive experience in performing HAE. With a commitment to patient-focused care, Dr. Andrew utilizes advanced imaging technology to deliver precise and safe treatment. You can count on Dr. Andrew for customized care designed to meet your specific needs, ensuring the best possible results and a swift return to your daily routine.
 
If you’re struggling with hemorrhoid symptoms, contact Alate Health or schedule a consultation and learn more about your treatment options. We are conveniently located at 1213 Hermann Dr Suite 255, Houston, TX 77004. We serve patients from Houston TX, Bellaire TX, Jacinto City TX, Spring Valley Village TX, Stafford TX, Bunker Hill Village TX, and surrounding cities.