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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. this procedure is a controlled anal stretch or dilatation under general anesthetic. It is performed because one of the causative factors for anal fissure is thought to be a tight internal anal. If another procedure is also performed at the same encounter and the listed benefit payable in respect of it under the schedule is greater than 134. 85 the physician is entitled to receive that listed benefit plus. An anal encirclement, usually referred to as a thiersch procedure, is the insertion of a prosthesis around the anal sphincter, thus narrowing the anal opening and is performed in patients with rectal prolapse who have high operative risk andor extreme old age. Originally carried out using a silver wire, but due to ulcers and other. If there are any skin tags near the fissure, they will be removed. Next, the doctor will carefully make a cut on the anal sphincter muscle. This will relax the sphincter and allow it to stretch, taking pressure off the fissure. The doctor will put a dressing into your anus to stop the bleeding. Surgeries to repair tissue or form a new anal opening are often performed on children with congenital anorectal malformations. After surgery, dilation may be a necessary step in order for the tissue to heal properly. In the video below, learn about some of the anorectal concerns that may necessitate surgery and anal dilation. results of sphincter dilatation under local anesthesia in 100 cases of anal fissure have been reviewed and the technic described. Sphincter dilatation under local anesthesia gives better results than that done under general anesthesia. It is an easy method which can be performed as an outpatient procedure. unfortunately ive developed a stricture at my anus that is going to require anal dilation. during the procedure, the surgeon makes a small incision in the internal anal sphincter. The aim of this incision is to release the tension of the sphincter. an anal stricture was found and dilation was performed with a balloon dilator. Then the colonoscopy was completed with no other issues and biopsies were collected.