Value of an Anal Dilator after Anal Stretch for Haemorrhoids
Author(s) -
Fernando Hintz Greca,
E Nevah,
M.M. Hares,
M R B Keighley
Publication year - 1981
Publication title -
journal of the royal society of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 81
eISSN - 1758-1095
pISSN - 0141-0768
DOI - 10.1177/014107688107400509
Subject(s) - dilator , medicine , anal canal , surgery , anal sphincter , hemorrhoids , randomized controlled trial , rectum
A prospective randomized trial compared anal stretch with or without continued dilatation for three months in 89 consecutive patients with haemorrhoids. Complications of therapy occurred in only 4 patients, 3 of whom had transient incontinence of flatus. When patients were reviewed four months after treatment, only 4 of 44 patients (9%) who used a dilator had not been improved and required additional therapy, compared with 15 of 42 patients (36%) who had anal stretch alone (P <0.02). It is concluded that the use of an anal dilator improves the results of anal stretch.
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