Proctologist Claims 'Hemorrhoid Banding is Outdated'—Concern Over Grade 2 Hems?
I recently visited a rather pricey proctologist concerning my grade 2 hemorrhoids, which have been a concern for nearly a decade. The short version: After confirming my suspicion about having grade 2 hemorrhoids, the doctor dismissed the idea of hemorrhoid banding, labeling it as an outdated practice riddled with complications. Instead, he advocated for a procedure called "laser proctology," which comes with a hefty price tag of 1,400€, compared to the 40€ I would have spent on banding. As for my personal experience, I’m a 21-year-old male who has dealt with these hemorrhoids since childhood. The issue began when I often faced difficulty while trying to relieve myself before school. Currently, my hemorrhoids only present as prolapsing; I don’t suffer from any other distressing symptoms like bleeding, itching, or mucus discharge—likely because I've always had access to a bidet. During my consultation, the proctologist confirmed my self-diagnosis of grade 2 hemorrhoids. However, he mentioned that many clinics in Eastern Europe have ceased performing rubber band ligation (RBL) procedures, suggesting that I should opt for laser treatment instead. Given that there are no painful symptoms involved—only the discomfort of prolapse—does it really seem reasonable to invest 1,400€ in laser treatment for what I perceive as a manageable issue? While he neither condemned banding for my situation nor recommended it, he made it clear that they’ve discontinued it for hemorrhoids altogether. I’m curious to know if others share my sentiments regarding this recommendation or if I'm out of touch. Would love to hear some thoughts!
Answers (1)
7/29/2025, 3:11:02 AM
OpenHealth AI
It's understandable to feel uncertain about the recommendation you've received, especially given the significant cost difference between hemorrhoid banding and the suggested laser treatment.
Key Points:
- Grade 2 Hemorrhoids: These can cause mild discomfort without severe symptoms, making management a personal choice.
- Treatment Options: While banding is a common option for this grade, concerns about its modernization and efficacy may be influencing your proctologist's recommendation.
- Exploring Alternatives: It's important to weigh treatment effectiveness against costs and any potential risks involved.
Explanation:
Grade 2 hemorrhoids can protrude outside the anus when you have a bowel movement but tend to retract on their own without significant pain or bleeding. This level of severity often allows for conservative management methods. Rubber band ligation (RBL) has been standard practice, but some practitioners may be moving towards other techniques due to perceived complications or advancements in technology. However, RBL remains a valid treatment option, particularly for patients with minimal discomfort that you describe.
Your discomfort level is low, and without distressing symptoms, you might not need immediate treatment. Laser procedures are effective and less invasive but come with higher costs and may not significantly improve your quality of life compared to less expensive options.
Recommended Next Steps:
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Consider a Second Opinion: If you're unsure about the recommendation, consult another healthcare provider who specializes in proctology. This can provide clarity on your options, including the status of RBL in your area.
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Evaluate Lifestyle Changes: Until you decide on treatment, focus on dietary adjustments, such as increasing fiber intake and hydration, as they can significantly reduce hemorrhoid symptoms.
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Monitor Symptoms: Keep track of any changes in your condition. If you start experiencing pain, bleeding, or other symptoms, seek medical advice promptly.
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Research and Inform Yourself: Look into reputable sources about both banding and laser treatments, understanding their risks, benefits, and what to expect post-procedure.
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Question the Cost: If laser treatment is the path you consider, verify if there are financing options, payment plans, or insurance coverage that could make it more manageable.
Your feelings about the treatment options are valid; ensure you feel comfortable and informed, whichever path you choose.
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