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Disclaimerthis channel is intended as an encyclopedia for medical practitioners. Videos on this channel contain surgical procedures that may be graphic in n. Group a (n 35) underwent hemorrhoidectomy and group b (n 39) was treated with anal dilation and aftertreatment (original lords procedure), whereas group c (n 44) had dilation only. 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, but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline. post operative case of piles surgery with regular anal dilatation. Lords anal dilation, recamiers procedure, digital anal dilation, maximal anal dilation - duration 057. 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. Internal anal sphincterotomy plus free dilatation versus anal stretch with special criticism of the anal stretch procedures for haemorrhoids the recommend modern approach to hemorroid treatment. Internal anal sphincterotomy plus free dilatation versus anal stretch with special criticism of the anal stretch procedure for hemorrhoids the recommended modern approach to hemorrhoid treatment. There is a procedure called a lords operation, after the surgeon peter lord. This is normally as a result of an excessively tight sphincter resulting. Dilation is often recommended as a follow-up practice after a surgical procedure. For example, after a surgery to remove hemorrhoids, you might develop an anal stricture, and dilation may help to reverse this narrowing. Finding out that you might be a candidate for anal dilation may at first feel intimidating or overwhelming. The process does require time and patience, but with proper anal dilator instructions, you can soon learn to care for your anorectal tissue.