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Anismus is the failure of the normal relaxation of pelvic floor muscles during attempted defecation. It can occur in both children and adults, and in both men and women although it is more common in women. It can be caused by physical defects or it can occur for other reasons or unknown reasons.

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Langenbeck's Archives of Surgery. In a recent issue, an interesting article on botulinum toxin injection versus lateral internal sphincterotomy for the treatment of chronic anal fissure has been published [ 1 ]. We would like to make a comment on the role of anal stretch plus fissurectomy in chronic anal fissure.

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Author disclosure: Richard L. Nelson has received fees from the American College of Physicians for web-based education modules. He is also the author of references cited in this review.

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Anal and distal rectal dilation is the act of opening, widening, or stretching the anus with tools called anal dilators. It is often done after surgical procedures on the anus to restore the area to its normal state. Understanding anal anatomy and muscular contractility is a must in sexual education, all in the hopes of long lasting and powerful experiences.

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Whether a person calls it defecation, passing stool, or pooping, going to the bathroom is an important function that helps the body rid itself of waste products. The process of eliminating stool from the body requires the work of the defecation reflex. You may need treatment to ensure this reflex can work as it once did.

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An anal fissure is a tear in the lining of the anus or anal canal the opening through which stool passes out of the body. The fissure can be painful and may bleed. Anal fissures can occur in anyone at any age.

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It has fallen out of favor in recent years, primarily due to an unacceptably high incidence of fecal incontinence. In addition, anal stretching can increase the rate of flatus incontinence. Our surgeons educate patients on all the available treatment methods so they can make informed decisions about their own health. With years of education, training and research under their belts, our doctors know what procedures offer the best results.

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