A few questions about Anal Dilation Surgery

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atxbomber
New Member


Date Joined Feb 2007
Total Posts : 7
   Posted 9/23/2007 5:16 AM (GMT -7)   

Unfortunately I've developed a stricture at my anus that is going to require anal dilation. Has anybody has this procedure before that can tell my what to expect? The surgeon went over the possible side effects with me, but then mentioned there's a 1/3 chance that I'll "lose the rectum", and that has me pretty worried. Anybody have numbers on this, know where I can get them?

Any help or comments on experiences will be greatly appreciated.


ConsideringABag
Regular Member


Date Joined Aug 2007
Total Posts : 65
   Posted 9/24/2007 5:06 PM (GMT -7)   
atxbomber,

This is a late reply, but hopefully you will see it! I am (unfortunately) Very familiar with this procedure--I have had it done now about 8 times. The surgeon does this procedure using many different sized "dialators," which look kind of like a tampon but made of stainless steel. The begin by putting in the smallest one, and keep upping the gauge, slowing stretching the scar tissue. The tissue will tear, but they heal the torn flesh shut with a laser, so it is an outpatient surgery.

The good thing is they knock you out, so you won't remember a thing. Also, you will be able to go to the bathroom again (it is so miserable when that scar tissue is blocking everything from passing)!!

As far as discomfort goes, I never had much pain or discomfort afterward. the first time you go to the bathroom after will feel a bit tender, but nothing like shooting pains, and you may bleed for a day or two. I went back to work the next day.

**One thing about this surgery is that for many people, the stricture tends to close back up again in time, especially if you are having a flare of your Crohn's or colitis. That is the reason I have had this procedure done many times. However, the last time I had it done, the stricture stayed open for 4 1/2 years!! The surgeon said that was a record.

I was told that complications of this surgery include 1.) damaging the muscles down there which could cause a lack of control (like incontinence)-BUT this typically only occurs in people who have had this surgery many times (I have NEVER had any issues with that). 2.) Getting an infection (this has happened to me twice after this surgery, but a little antibiotics clear things right up). I have never heard of "losing the rectum" that you mentioned...perhaps they meant "lose muscle control" down there...??

Anyway, GOOD LUCK with your procedure, and I am sure it will go just fine! :-) :-)

Popsi
New Member


Date Joined Jul 2012
Total Posts : 3
   Posted 7/24/2012 6:53 PM (GMT -7)   
In January, I had a cancerous rectal tumor removed. I was given an ileostomy to allow the area to heal & prevent further irritation by the diarrhea common with chemo. A few weeks after the surgery, the nerves in my anus woke up causing moderate discomfort which lasted about 3 weeks. 
All was well until the beginning of May when I was given a anal dilation in preparation for the removal of my ileostomy . Immediately after I started experiencing unimaginal pain (8 or better in 10 point scale). My surgeon said this was uncommon & prescribed hydracodone which didnt help. Initially the pain was both an aching deep within & sharp nerve pains at the opening. Later I also started experiencing symptoms associated with Proctalgia Fugax.
After an examination, my surgeon still was unable to determine the cause of the pain, but determined  that a 2nd dilation was needed. I'd hoped this procedure  scheduled for early July would relieve at least some of the pain, but it did not.  
I've since had my ileostomy removed & am still experiencing a incredible pain even while using hydramorphone which is a very strong pain medication.  I'm interested in knowing if anyone else has had a similar experience.

CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 7/24/2012 7:16 PM (GMT -7)   
Popsi, is it possible that you have an infected anal or rectal crypt??
My computer says I need to upgrade my brain to be compatible with its new software.

huntsWcrohns
Regular Member


Date Joined Nov 2011
Total Posts : 48
   Posted 7/25/2012 5:12 AM (GMT -7)   
did the doctor do a sigmoid scope, to look for other causes, my problem was a collapsed sigmoid and half the rectum, witch were removed now I`ve got daily rectal pain every day, they`ve ruled out everything, hemi`s proctites ect,, they say probley just years of crohn`s damage and tore up nerve endings, post your results when you get it done..good luck..

Popsi
New Member


Date Joined Jul 2012
Total Posts : 3
   Posted 7/25/2012 5:36 AM (GMT -7)   
CrohnieToo,
I've read the symptoms of an infected anal/rectal crypt (or Cryptitis) and they are exactly what I am experiencing. I've made an appointment with my surgeon to discuss this as a possible cause for my suffering. Seeing it in writing printed from the web may finally get him to understand.

Popsi
New Member


Date Joined Jul 2012
Total Posts : 3
   Posted 7/25/2012 5:46 AM (GMT -7)   
huntWcrohns,
It was during the 2nd dilation that the surgeon scoped the area. I'm not certain what kind of scope was used, but I'll be sure to address this as a possibility during my appointment.
Thank you all!!

CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 7/25/2012 7:21 AM (GMT -7)   
I experienced an infected rectal crypt years and years ago. I don't remember that I actually had any rectal pain (until the digital exam!!!) but I sure do remember the low back pain from it!

Despite several local anesthetic injections they had to peel me off the sealing when they did the digital exam to Dx the infected rectal crypt. I really wanted to kill the surgeon, just rip his throat out w/my bare hands, when he did the digital exam and I made no bones about letting him know that was my intent!!
My computer says I need to upgrade my brain to be compatible with its new software.
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