If you've just been told you have piles, the word "surgery" is probably the first thing that worried you. Here's some relief: for a lot of early-stage cases, surgery isn't actually the first step.
Rubber band ligation, often called hemorrhoid banding, is a simple outpatient procedure that treats internal piles without any cuts, stitches, or hospital stay. At Vithai Piles Hospital in Kasarwadi, PCMC, Pune, Dr. Atul Patil (M.S. Shalyatantra) and Dr. Sarita Patil (Dip. G.O.) use this technique for patients whose piles are caught early enough that a bigger procedure simply isn't necessary. It's quick, it's done right in the clinic, and most patients are back to their day within hours.
Rubber band ligation is a procedure where a small, tight rubber band is placed around the base of an internal hemorrhoid. This cuts off its blood supply, and over the course of about a week, the hemorrhoid shrinks, dries up, and falls away on its own—usually without you even noticing when it happens.
It's a well-established, minimally invasive option specifically for internal hemorrhoids, meaning piles that develop above the sensitive lower part of the anal canal. Because that region has very few pain-sensing nerves, the procedure itself is generally quick and far less uncomfortable than most patients expect.
Rubber band ligation works best for internal piles in the earlier stages—typically grade 1, 2, and select grade 3 cases. It's usually recommended when:
If your piles have progressed further, or if there's a mix of internal and external hemorrhoids, Dr. Atul Patil or Dr. Sarita Patil may recommend laser treatment instead—this is exactly why an accurate diagnosis before treatment matters so much.
Choosing where to get treated matters as much as choosing to get treated at all. Here's what sets our care apart:
Piles, in every stage and every treatment approach, are central to what we do every day — not an occasional case.
We don't default to one technique for every patient. If banding is the right fit, that's what we recommend. If your case needs laser treatment or another approach, we'll tell you that too.
Dr. Atul Patil brings a blend of Ayurvedic and modern surgical training. Dr. Sarita Patil, a proctologist and gynaecologist, gives female patients a doctor they're comfortable consulting.
No hospital admission, no lengthy pre-op process — just a straightforward, effective outpatient procedure.
We know this isn't an easy topic to walk in and discuss. Every consultation is handled respectfully and discreetly.
Serving patients across PCMC, Pimpri, Pimple Saudagar, Pimple Gurav, Wakad, Rahatni, and nearby areas.
For the right candidate, banding offers real advantages over jumping straight to a surgical procedure:
That said, banding isn't a universal fix — it's specifically effective for the right type and stage of piles, which is exactly why it needs to be recommended after an actual examination, not assumed based on symptoms alone.
Dr. Atul or Dr. Sarita examines the hemorrhoid to confirm it's suitable for banding rather than a different treatment approach.
Using a specialized instrument, a small rubber band is placed at the base of the internal hemorrhoid, cutting off its blood flow.
The procedure itself typically takes just a few minutes per hemorrhoid, and you're free to go home shortly after.
Over the following week, the banded tissue shrinks and separates on its own, usually passing unnoticed during a bowel movement.
A short follow-up visit to confirm healing and check whether any additional hemorrhoids need treatment in a later session.
If your piles were caught at an early, treatable stage, rubber band ligation could mean skipping surgery altogether. The team at Vithai Piles Hospital will give you a clear, honest assessment of whether banding is right for your case — no unnecessary procedures, no pushing you toward surgery when a simpler option will do.
Dr. Atul Patil is working in the field of anorectal since last 8 years. He is post graduate of this subject from reknown Govt. College of ayurveda from Ernakulam, Kerala. He has develop his own treatment of anorectal diseses, with the great combination of kerala Ayurvedic treatment along with allopathic treatment, which assures the 100% cure.
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Dr. Sarita Patil lady piles doctor in pune is Young and dynamic personality. Her eagerness to surpass the limits of the ordinary, led her to pursue a relatively unknown specialty – Proctology. She is master in anorectal disease associated with femanity.
Read MoreEverything you need to know about rubber band ligation at Vithai Piles Hospital
“ Dr. Atul Patil is very friendly and provides full support to his patients. He also answers all patient questions fully and fully satisfied them. ”
“ My experience was absolutely delightful. I just had to show my insurance Ecard and a few ID proof and everything was taken care of. Insurance agents are not involved at all. My experience with Dr. Atul Patil has been smooth and he really listens to every query with patience. ”
“ During our consultation, the doctor provided really helpful guidance for our next steps. ”
“ Definitely the best doctor and he has great experience and is a hard worker, thanks doctor Saab. ”
“ Dr Atul Patil is really good and Dr Sarita mam along with their staff is very good in terms of taking care of the patient and providing best care thanks a lot ”
“My wife's piles treatment done in vithai piles hospital. Dr. Sarita patil mam did this operation and operation done successfully without any trouble. All staff are very carefull. Hospital is very clean and well maintained with all facilities. ”
“ Dr. Patil has extensive experience in Hemorrhoids, Fissures. Vitthai hospital is very good. The staff is very good. Very experienced. The staff take good care of the patients. The hospital has a good atmosphere. The patient feels very good in such an environment. ”
“ Verry good Doctor and supporting staff. It's been one year since my treatment of level 4 Piles with Fisher now I have no complain. Thanks to Doctor Anil Patil. ”