Hemorrhoid banding vs. the Keesey technique
Both are non-surgical treatments for internal hemorrhoids. Banding cuts off the blood supply with a tight band until the tissue dies and falls away. The Keesey technique sends a very low electrical current into the hemorrhoid so it shrinks and shrivels. Dr. Cranford has used both, and chose Keesey.
Rubber band ligation
A device called a Baron’s ligator places a constricting rubber band around the protruding hemorrhoid. The tissue loses its blood supply, dies and sloughs off, leaving minimal scar tissue. It is best for 1st, 2nd and early 3rd degree internal hemorrhoids.
The Keesey technique
A disposable electrode applies a negative galvanic current to the hemorrhoid, about 5 to 7 minutes per site. The hemorrhoid’s blood vessels clot and the tissue shrinks. A typical case needs several treatments, which can be given on consecutive days.
The lining above the anorectal line has no pain sensors, so it is done with little or no discomfort.
Dr. Cranford’s view
Having used a variety of non-surgical treatments, including ligation and infrared photocoagulation, he finds the Keesey technique the best tolerated and most effective, with the least likelihood of side effects such as pain, bleeding or infection. He has given about 80,000 Keesey treatments with few complications.
Common questions
Which is less painful, banding or Keesey?
In Dr. Cranford’s experience the Keesey technique is the best tolerated, done with little or no pain.
How many Keesey treatments will I need?
It depends on severity. A typical case of internal hemorrhoids needs 6 to 10 treatments.
Does the Keesey technique need a hospital?
No. It is done in Dr. Cranford’s office, with no hospital stay.
