Rubber band ligation (RBL) is the most commonly use to treatment of hemorrhoids up to 80% of patients with hemorrhoids (Kann BR, 2004). Barron said the process causes the banded tissue to necrose and slough, with the resultant inflammatory reaction causing refixation of the mucosa to the underlying tissue, eliminating hemorrhoidal prolapse. This mechanism of action is common among the nonsurgical treatments for hemorrhoids, stressing the importance of hemorrhoidal prolapse in the etiology of symptoms (Barron J, 1963). RBL is a simple, inexpensive procedure and effective for grade I to III hemorrhoids. (Sardinha TC, 2002)