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Reflex anal dilation (rad) is the reflexive dilation of the human anus to a diameter greater than two centimeters in response to the parting of the buttocks or anal stimulation, such as brushing with a medical instrument. Rad was theorized to be a clinical marker associated with anal sexual assault in children, and has been associated with other signs of sexual assault but also appears in children with severe chronic constipationand those subject to invasive medical treatments of the anus. Maximal anal dilation howe v er was formally described nearly 30 years ago by lord (1). However despite an initial widespread use, appropriate or inappropriate, anal dilatation had been even more widely condemned in recent years. What is anal dilation? Sometimes the anal opening is smaller than it should be. This can cause medical complications and can also be uncomfortable. Anal dilation involves sliding a special tool into the anus to hold it open. The process may also work to stretch the opening to a more normal size. Rubber band ligation relieved 25 out of 30 and maximal anal dilatation 24 out of 30. Injection was the least effective treatment, and relieved 18 of the 30 patients, with a cure rate of 60 only. Haemorrhoidectomy caused pain in all cases, anal stenosis in two, postoperative haemorrhage in two, and the patients required an average hospital stay of 11. Trial of maximal anal dilatation, cryotherapy and elastic band ligation as alternatives to haemorrhoidectomy in the treatment of large prolapsing haemorroids. the human rectum is only about 5-7 inches in length, and there is a sharp turn between the rectum and the large intestine. If the dildo is soft, it is indeed possible to insert up to a surprising amount of the dildo in your ass. Damage can occur in the large intestine, just as it can in the rectum, but the likelihood of you noticing it is very low. Trial of maximal anal dilatation, cryotherapy and elastic band ligation as alternatives to haemorrhoidectomy in the treatment of large prolapsing haemorroids. A selected group of 112 patients with prolapsing haemorrhoids which had failed to respond to injections of phenol in oil or which required manual replacement after defecation, were randomly allocated. Post-dilatation of the 6 crowns design medium vessel workhorse was performed with 4. 0 mm balloons (left panel) and post-dilatation of the 9 crowns large vessel design was performed with 5. With the patient in a semi-recumbent position, the inserted rectal balloon will be slowly filled with water to assess and record the following rectal sensations first sensation of rectal filling, first urge to defecate, and maximum tolerable rectal volume. For a normal patient, the first sensation will normally be reported between 10 and 60 milliliters the first.