The hemorrhoid is ligated at its base, to prevent bleeding from the blood vessels within the hemorrhoid, then it is removed surgically. Alternatively, some surgeons will simply apply a rubber band around the base of the hemorrhoid (banding); deprived of its blood supply, the hemorrhoid will then simply fall off and be passed in the stool. Finally, some surgeons will inject the base of the hemorrhoid with a sclerosing agent (sclerotherapy), which also destroys the vessels in the hemorrhoid, causing it to fall off and be passed in the stool.
Update Date 6/5/2013
Updated by: John A. Daller, MD, PhD., Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.