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Non-surgical treatments are recommended initially for acute and chronic anal fissures. These include topical nitroglycerin or calcium channel blockers (e. Diltiazem), or injection of botulinum toxin into the anal sphincter. Your doctor will provide detailed directions for how to perform dilation, but the following anal dilator instructions will give you an overview of the process. Some dilators, such as sapimed dilitan, are designed to maintain a consistent temperature for warm or cold use.   vigorous anal dilation and excessive anal canal traction during operation can damage the internal sphincter and have adverse effects on the postoperative continence function. Therefore, preoperative anal dilatation can avoid vigorous anal dilation and excessive anal canal traction during operation it may alleviate anal edema and promote postoperative rehabilitation. Disclaimerthis channel is intended as an encyclopedia for medical practitioners. Videos on this channel contain surgical procedures that may be graphic in n.   this procedure is a controlled anal stretch or dilatation under general anesthetic. It is performed because one of the causative factors for anal fissure is thought to be a tight internal anal. Anal dilation may be done before or after anorectal operations. It is a safe procedure that helps stretch (dilate) the size of the anus. Anal dilation is important after surgery to help prevent the body from forming scar tissue and narrowing the anal opening.   i have found that anal dilation is an outdated procedure that should be discarded but it is usually used for anal fissure under anesthetic or before hemroid surgery. I find nothing that says anything about using this so soon after hemroid surgery not to mention without anything for pain, and judging by the amount of pain and additional swelling it has caused it probably isnt a great idea. This allows the anal fissure to heal and reduces your chances of developing any more fissures. It is a short and relatively straightforward operation thats usually carried out under a general anaesthetic on a day patient basis. Anal dilation is sometimes recommended as a complement to treatments for various colorectal problems and diseases. Sometimes, widening the anus is recommended in order to help a patient pass waste material. Other times, it may be done in an attempt to relieve pressure on tissue that is affected by a medical condition.

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