Hi,
My experience with dialation by a surgeon has been mixed. I have had 6 different doctors do this procedure over the years. Some GI doctors are not eager to bother with this procedure, and some prefer to do it as a throw-in procedure when they do a colonoscopy. Apparently treating anal stenosis is not exactly a prestige specialty in the GI trade. I have really only found one doctor who seems genuinely concerned about the impact of stricture on my daily functioning, but your luck will be better, I hope. I have learned a few things: some doctors use dialators and other devices, whereas others just use their fingers. I would ask about that. I had one doctor who just used his fingers, and his procedure helped and I went back to him for a few years. The other finger-only procedures did not help me much. I think they were not aggressive enough, or unfamiliar with how to do a dilation. The 2 docs who used actual devices were more effective: they were actually GI surgeons, not regular GI doctors. My suggestion is to ask specifically how they plan to do the procedure, what they will use, and how many they have done. The other thing I noticed is about half of the docs who did this for me were not really thrilled to do it, even somewhat in sympathetic. One of them even suggested I consider getting a colostomy! (She said “I usually recommend that for all my serious LARS patients.”) The guy I have now is great. He gets feedback from me a couple of weeks after the procedure to see how much it helped. If I am not significantly sore for a few days after, I am quite sure the procedure didn’t do anything.
For at home dialation, which for me at least, is more about maintaining than stretching, I have 2 sets. The first set linked below is pricy and doesn't go in as far as I need them to, but the taper and the material are really helpful. The ones you linked seem similar to these.
https://www.cmtmedical.com/product-tag/rectal-dilators/The others I use are inexpensive…hegar dialators. I don’t like the steel material or the lack of taper, but the length and the range in sizes are great.
https://www.amazon.com/ArtLab-Dilator-S ... 6X9A9OTSKHTypically, every time I do a dialation, I start with a tapered one and then repeat the procedure with a hegar or two. Depending on the status of my stenosis, a little trial and error tells me what I should be using, and I keep using those 3 times a week. I have not needed to switch sizes for awhile, but over the years I have used most of them.
Sorry to hijack… I. Wish you the best…I hate stenosis!