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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. 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. 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. 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.