Anal dilatation: An acceptable alternative to hemorrhoidectomy

A. A. Deutsch, M. Zager, R. Reiss

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Eighty patients were referred for surgical treatment of hemorrhoids. Sixty-eight underwent anal dilatation and the results in 65 of the cases were followed for up to two and a half years. Over 89% of cases were satisfied with their results; 15.4% of these had very occasional episodes of bleeding; 10.8% were not satisfied and 2 cases (3%) required a formal hemorrhoidectomy. Our results compare favorably with other reported series. We discuss experimental studies which suggest that anal pressures may be higher than normal in patients with hemorrhoids. Anal dilatation has proved itself to be a satisfactory method of treating hemorrhoids. This view does not appear to be accepted in many centers. We also point out the additional advantages which include a short or no hospital stay, a considerable reduction of pain and discomfort to the patient and financial saving to the patient and health service.

Original languageEnglish
Pages (from-to)7-8+10+28
JournalAmerican Journal of Proctology Gastroenterology and Colon and Rectal Surgery
Issue number10
StatePublished - 1981


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