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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. For a mild stricture, this is done by placing your finger or an anal dilator into the anus, 2 times a day for 2 months. For a more severe stricture, dilatation may be done in a hospital. this video demonstrates the technique of doing the sequential dilatation of stricture urethra in an adult male under local analgesia. 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. Anal dilation instructions - 4 - disclaimer this document contains information andor instructional materials developed by michigan medicine for the typical patient with your condition. Dilatation means stretching and it involves passing a catheter (tube) into the urethra to stop it from narrowing. Your consultant has recommended that isd would be helpful for you. The procedure of self-dilatation is carried out by yourself at home and is a safe and simple treatment which will reduce the risk of your stricture recurring.