After years of harassment of third degree prolapsing hemorrhoids i found long term relief in one ointment called hemorrel. Would strongly suggest before going to surgery. I went to hemorrhoidectomy, everything was ok for about a year and after that they reappeared. Decided to try something new, searched and used a lot of products. After i found this ointment has been nearly 3 years. I have it with me and use it form time to time.
I've had good success with banding. However, I believe that the banding works best with internal hemorrhoids. External hemorrhoids are more difficult to deal with, and often surgery is the only way to resolve them. I suggest consulting with a colon and rectal surgeon about the options.