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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. 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. Dilatation means stretching and it involves passing a catheter (tube) into the urethra to stop it from narrowing. Your consultant has recommended that isd would be helpful for you. The procedure of self-dilatation is carried out by yourself at home and is a safe and simple treatment which will reduce the risk of your stricture recurring. Intermittent self meatal dilatation - in some men it is possible that the narrowing of your urethra may re-occur. To reduce this risk you may be taught how to perform intermittent self meatal dilatation. What is meatal dilatation? Meatal dilatation is a procedure which involves you passing a short catheter into the end of your urethra. 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. demonstration of the wymedical wycath h2o catheter for male dilatation.