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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. Anal dilation instructions - 4 - disclaimer this document contains information andor instructional materials developed by michigan medicine for the typical patient with your condition. How to safely stretch your anus for anal play medically reviewed by janet brito, ph. 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. 7 stretching of anal sphincter lords anal dilatation anal dilation was described by recamier in 1838. on the basis of severity, milsom and mazier distinguished mild (tight anal canal can be examinated by a well-lubricated index finger or a medium hill-ferguson retractor), moderate (forceful dilatation is required to insert either the index finger or a medium hill-ferguson retractor), and severe anal stenosis (neither the little finger nor a small hill-ferguson retractor can be inserted unless.). demonstration of the wymedical wycath h2o catheter for male dilatation.