Surgeons don't tend to band external hemorrhoids,
since the pain would be really bad (the pain comes from
nerves below the dentate line).
At least that's what two surgeons told me when I went
to see them. However, frankly, I think they could have
gone ahead. I've had external hemorrhoids banded before
on an outpatient procedure years ago. The pain was bad, yes,
and it also felt as if someone was grabbing your anus
all the while. Has some uninary retention too - you are going
to have a tough time passing urine. But I withstood it and
the pain went away after the first or second day.
Banding doesn't normally last more than 5 years though.
And big, confluential hemorrhoids can't be banded.
Other options you could ask them are infrared coagulation,
radiofrequency ablation, or galvanic current treatment.
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