Management
In a prospective randomized study [PMID:22428474], patients treated with CHR reported slightly lower pain scores immediately post-procedure (mean 2.13) and at first evacuation (2.38) compared to RBL (2.08 and 2.69, respectively), though differences were not statistically significant. Patient satisfaction scores were high for both methods, with CHR showing marginally higher satisfaction scores at 6 months (7.31 vs 7.11).
[PMID:22428474] did not explicitly detail bleeding outcomes separately for each treatment group, focusing instead on pain and satisfaction scores, suggesting a need for further analysis on bleeding incidence between RBL and CHR treatments.
Prognosis & Follow-up
[PMID:22428474] reported symptom remission in 69.4% of patients treated with RBL and 84.6% (31 out of 36) treated with CHR at the 6-month follow-up mark.
References
1 Filingeri V, Angelico R, Bellini MI, Manuelli M, Sforza D. Prospective randomised comparison of rubber band ligation (RBL) and combined hemorrhoidal radiocoagulation (CHR). European review for medical and pharmacological sciences 2012. link
1 papers cited of 3 indexed.