PSA: Say “No” to Hemorrhoidal Banding!

Hemorrhoidal banding for your already tight ass is contraindicated. Here’s my PSA on why.

Over and over again, people will see a surgeon for overt anal issues and then come to me for a second (or third) opinion. What are their problems, you ask? Mostly bleeding when they go to the bathroom or, more often, during or after anal sex, and an accompanied feeling of anal pain stemming from tight anal muscles — all limiting the pleasures and successes of cock-in-ass sex.

We will dissect more below, but most surgeons incorrectly opt for the placement of an internal rubber band to treat internal hemorrhoids. Yes, there is an indication for their use, but it’s far less often than doctors think, specifically for those in the 20–45 year-old trying-to-be bottom gay men demographic (or anyone else looking to engage anally).

So why are so many youthful bottoms getting banded? Unfortunately, because most physicians lack any knowledge as it pertains to gay sex. The concept doesn’t even enter their minds.

So what’s a hemorrhoid?

We all have them and hemorrhoids are actually normal. They are there to absorb any pressure from shitting, sex, and/or heavy exercise. Hemorrhoids are dilated veins that get filled with blood during these acts and create cushions to minimize friction and trauma. Now, symptomatic hemorrhoids are ones that, due to these excessive and/or prolonged forces, can develop significant complications — bleeding, pain, or prolapse to name a few.

Now, back to the mishap.

Hemorrhoids can also develop from what? A fucking super tight asshole. You try to get fucked, but you can’t fully relax. The pressures are so great that they lead to your hemorrhoids becoming irritated. The real issue stems from your tight ass. You actually tear your skin during sex and develop a common ailment called an anal fissure. The spasm of these muscles actually causes painful sex, the development of the tear, and — you guessed it — the manifestation of this injury is none other than hemorrhoids.

First, you heal your fissure by abstaining from sex, and then present to your surgeon a tight ass with these puckered internal veins (aka hemorrhoids). Then 💥, they advise hemorrhoidal banding. It’s literally placing a rubber band at the base of the hemorrhoid and then in 7 days the hemorrhoid falls off. The tightness of the rubber band basically strangles the vein and then leads to its demise. Of course you trust them ‘cause, why wouldn’t you?

But banding inappropriately also leads to significant complications, such as scarring and, worse yet, causing an even tighter asshole, which doesn’t even remotely take care of the true issue at hand.

Do you see what I see?

If the surgeon or practitioner understood your life from top to bottom (pun intended), they would dive deep into a complete sexual history to truly understand the potential issues at hand. From that appropriate questioning, they could formulate a plan that is beyond straightforward. It’s all about the pressures of your hole. The tighter the hole, the more force you need to generate to open it up. Both in and out pressures. The ability to shit or the ability to receive cock.

So why don’t we lower the pressures, right? You guys are fucking geniuses. That’s exactly the treatment. Because if we lower those elevated spasmodic contractions then, guess what? The hemorrhoids, for the most part, go away. And what you’re left with is a relaxed asshole that can now accommodate what you truly want: 🍆.

Let’s be honest — it’s what we all want: the capacity to take 🍆 without any negative ramifications. Sometimes our asses make the rules.

So how do we achieve this?

By making sure we are educated — even before seeing our doctors — on all the issues that are affecting not only yourself, but also our community at large. The inequalities our community face, unfortunately, lead to significant complications. This must be stopped.

The moral of the story is: hemorrhoidal banding is bad if your hole is too tight. It’s OK to walk out the door and seek other advice. Do more research. See professionals who can provide the standard of care we all deserve. It’s our right — let’s demand it. Don’t settle. Let’s make sure we rewrite not only our sexual education, but also surgical treatments that are appropriate for all our engagements.

Don’t forget to stay in touch on Instagram: me and Bespoke Surgical.