DILAGENT

CE Medical device, class I. Dilagent provides effective and targeted training to the muscles of the anorectal tract, promoting their functional recovery.
Anal dilator made of soft silicone, indicated for the treatment of anorectal tract pathologies caused by sphincter hypertonia, such as fissures, hemorrhoids, and painful spasms after surgical treatments on the anorectal tract. It is also effectively used in post-surgical stenoses of the anal canal.
Anal fissures and, generally, all painful conditions of the anus (symptomatic hemorrhoids with hypertonia, thrombosed hemorrhoids, pain after surgery, and anal spasms) are usually associated with hypertonia of the internal anal sphincter. The "mushroom" shape of the probe allows the dilator to anchor above the puborectalis muscle, transferring heat not only to the internal sphincter but also to the puborectalis muscle itself and the musculature of the distal rectum. This important function of Dilagent causes muscle relaxation with a curative effect in the aforementioned pathological conditions.
Furthermore, contraction of the puborectalis muscle (puborectalis sling) is considered one of the main mechanisms for maintaining fecal continence. During defecation, the relaxation of the anal sphincters and the puborectalis sling allows for the straightening of the anogenital canal-rectum tract, thus facilitating evacuation. If, on the contrary, during defecation, there is a paradoxical contraction of the puborectalis muscle, the anorectal angle becomes more acute due to increased tension of the muscle itself, thus preventing the emptying of the rectal ampulla (anismus).
The Dilagent probe promotes the relaxation of the puborectalis muscle through direct heat transmission, making it effective in the treatment of anismus.

Instructions for use
Before treatment, it is advisable to take a sitz bath with warm water and Sapigen K for 5/8 minutes to relax the perianal muscles. Once the air contained in the probe has been removed using the provided syringe, lubricate the dilator with plenty of Dilatan Cream and gently insert it into the anus until the handle comes into contact with the anal margin. For the first 2 or 3 days, inject 10/20 ml of warm water into the probe (40/45°C). As therapy progresses, increase the amount of warm water up to a maximum of 50 ml. Larger quantities could cause a continuous and annoying urge to defecate. The length of the flow regulator allows these maneuvers to be easily performed independently.
The treatment should be continued for 3-4 weeks.
After each use, wash the probe with soap and neutral water. Dry with a soft cloth before storing. Use is strictly personal.

Format
The package contains:
• a biomedical silicone probe with a pressure valve and a 60 cm flow regulator
• a 60 ml syringe
• a sample of Dilatan Cream
• a sample of Sapigen K intimate cleanser
• instructions for use

Code A1004