Anal dilatation

Anal dilatation is used as a simple method of treatment and has been used for both anal fissure and haemorrhoids. Follow-up ranged from 16 months to 36 months median 27 months after anal dilatation 68 patients for fissure, 32 for haemorrhoids, and 32 for both. Seventy-one percent said they would have a further anal dilation if symptoms recurred. There was no difference in results obtained by surgeons of different seniority.
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Patient Satisfaction and Symptom Relief After Anal Dilatation

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Patient Satisfaction and Symptom Relief After Anal Dilatation

Anal dilatation in response to gentle parting of the buttocks has been advocated as a sign of sexual abuse in children, but nothing is known of the physiology of this response or its existence in normal subjects, in patients with spinal disease, and in patients with a weak sphincter and whether it can be elicited after training. To answer these questions we investigated the effect of parting the buttocks on anal function. Combined anal manometry and electromyography was conducted in six normal subjects five men, one woman, aged years , in 18 patients with faecal incontinence three men, 15 women, aged years , and in seven paraplegic patients six men, one woman, aged years , in four of whom the posterior sacral roots had been cut. Parting the buttocks in normal subjects reduced the pressure in the anal canal from 20 to 14 3 cm H2O mean SEM , p less than 0. This drop in pressure was associated with increased electrical activity in the external anal sphincter.
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Anal fissure

Background: In this study we aim to present our experience in managing chronic anal fissures by manual anal dilatation in order to clarify whether this method is still viable in a modern surgical setup. Methods: A total of 55 patients who underwent manual anal dilatation for chronic anal fissures from March till March were studied prospectively. Mean duration of hospital stay was 1.
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An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, [1] but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location.
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