Dilatan Plus - Cryothermic Anal Dilators

DilatorsDILATAN® PLUSare available in several sizes (18 mm, 20 mm, 23 mm, 27 mm and 30 mm) to adapt to the morphology of each patient and the severity of the pathology to be treated. The 18 mm and 20 mm formats are particularly recommended for women and children, while the larger sizes (up to 30 mm) are suitable for more advanced treatments.

They are indicated in many anal pathologies, including stenosis (whether cicatricial or idiopathic), sphincter hypertonia or spasms, acute or chronic anal fissures, essential proctalgia, painful hemorrhoids, as well as constipation secondary to hypertonia. They are also used as a preventative measure to avoid post-operative stenosis after surgery for hemorrhoids or fistulas, as well as in the management of actinic proctitis, often associated with anal stenosis.

Each dilator consists of a rigid plastic sheath with a widened base (disc type) for easy handling, and contains a thermo-accumulator gel. This gel allows dual use depending on needs: incryotherapy(cold ≥ 0 °C) to soothe pain and bleeding, or inthermotherapy(heat ≤ 50°C) to release muscle spasms and treat sphincter hypertonia.

Depending on the case, sizes 18, 20 and 23 mm are recommended for moderate hypertension, actinic proctitis or tight stenoses. Sizes 27 and 30 mm are recommended for severe spasms or chronic anal fissures.

For optimal effectiveness, it is recommended to use dilatorslukewarmin case of painful spasms andcoldin the presence of bleeding. In other situations, the application temperature remains at the discretion of the practitioner or the patient.

In CRYOTHERAPY, cool the dilator in the refrigerator or immerse it for 10-15 minutes in water and ice.
In THERMOTHERAPY, heat the dilator in hot water (not higher than 50°) for 10-15 minutes. Then apply DILATAN® CREAM or lubricating ointments to the dilator. Sitting on the bidet or lying on your side, before or after defecation, slowly insert the dilator into the anal orifice up to its base. In case of sphincter spasm, it is advisable to precede the dilations with a sitz bath in hot or warm water in order to exert a relaxing action on the anal sphincter muscles.
The dilator should be held in position for approximately one to three minutes, after which it should be slowly removed. It is recommended not to stand or walk after inserting the dilator. Use the dilator twice a day while the pain persists and continue for a month after the problems have resolved.
After hemorrhoidectomy, dilations should be performed 1-2 times a day for the first month after surgery and then every two to three days for the next two months. Daily dilations are necessary for several months in cases of anal stenosis.

Cleaning:
DILATAN®PLUS anal dilators should always be washed with warm water and neutral soap after use. If necessary, they should be left in a disinfectant solution.

Warning :
A medical and proctological check-up is recommended to exclude a different origin of the symptoms.
Keep out of reach of children.
Do not swallow.
The use of this device is strictly personal.