Lords anal stretch procedures

FREE subscriptions for doctors and students Lord's procedure involves manual dilatation of the anal sphincter under general anaesthetic. It is a adjunctive procedure in the early stages of piles. It results in a lowering of intra-anal pressure during defaecation, thus making the passage of stool easier. It is thought to reduce the discomfort of defaecation.

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Lord's stretch - General Practice notebook

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Lords anal stretch procedures

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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, [1] but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to the underlying sphincter muscle.