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I think the only "technique" issue would be if you are actually inserting it to 18mm at the stricture. The other thing might be frequency. If you are dilating daily I think that is the best it will be.

What we don't know is if your stool is too thick, if you have pelvic floor dysfunction, or pouch prolapse/twisting. Anal dolation would not affect these things, just anal stricture.

Jan

I'm definitely getting it past the stricture daily but it does seem I need to have a precise consistency that is impossible to duplicate every day. Too thin and not enough bulk to empty and too thick and I never ever feel empty. I have been dxd with pelvic floor issues but multiple biofeedback physical therapy sessions have not been successful. I even went to the top therapists at Cleveland clinic Ohio. Any other options?

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