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Manual dilatation of the anus.
A MacDonald1, A Smith, A D McNeill
1Division of Surgery, Stirling Royal Infirmary, UK.
The British Journal of Surgery
|December 1, 1992
Summary
Manual anal dilatation showed limited success for anal fissures, hemorrhoids, and anal stenosis. This retrospective review suggests a reduced role for this treatment in common anorectal disorders.
Area of Science:
- Colorectal surgery
- Gastroenterology
Background:
- Manual anal dilatation was a historical treatment for anorectal conditions.
- Its efficacy and complication rates require evaluation.
Purpose of the Study:
- To retrospectively assess the outcomes of manual anal dilatation for anorectal disorders.
- To determine the effectiveness and complication rates of this procedure.
Main Methods:
- Retrospective review of 100 consecutive patients treated between 1980 and 1983.
- Analysis of clinical presentation, diagnosis, treatment, and outcomes.
Main Results:
- Manual dilatation failed to successfully treat 26/46 anal fissures.
- It was ineffective as a sole treatment for hemorrhoids and anal stenosis in multiple cases.
- Incontinence occurred in 27 patients (21 female).
- 23/25 patients without a diagnosis reported symptom relief.
Conclusions:
- Manual anal dilatation has a limited success rate for treating anal fissures, hemorrhoids, and anal stenosis.
- The procedure is associated with a significant risk of incontinence.
- A reduced role for manual anal dilatation in managing common anorectal disorders is recommended.
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