ANAL DILATION AND STRETCHING SERVICES NYC
AWARD-WINNING & NATIONALLY TRUSTED SERVICES
For expert guidance on anal dilation, Bespoke Surgical provides specialized anal stretching and anal training services led by our compassionate team of doctors. With a focus on comfort and individualized care, our skilled professionals ensure safe, effective procedures that support your health and well-being.
What Are Anal Dilation Services?
Anal dilation services involve the gradual anal stretching or widening using specialized tools called anal dilators or expanders. Just like any other muscle in the body, the sphincter muscles require training to improve flexibility and function. This process, also known as anal training, is often recommended after surgical procedures to aid recovery, restore normal function, and prevent complications such as anal fissures.
Beyond post-surgical care, anal dilation can also enhance comfort during bowel movements and sexual activity, supporting both functional and aesthetic goals. Whether you’re recovering from a procedure or seeking to improve flexibility, Bespoke Surgical’s expert team provides safe, professional anal training guidance specific to your needs.
Understanding Anal Sexual Health
At Bespoke Surgical, we believe anal wellness is an essential part of sexual health—especially for those who engage in receptive anal sex. Many individuals pursue anal dilation services, anal stretching, or anal training not only for medical recovery, but also to improve comfort, confidence, and pleasure. By removing stigma and emphasizing safety, we empower our clients to explore their sexuality with clarity and care.
What Do Anal Dilation Services Treat?
Anal dilation services are used to address a variety of medical and functional concerns related to anal tightness or discomfort. Anal training helps restore normal function by gradually widening the area and improving flexibility.
Additionally, anal stretching is often recommended for individuals experiencing anal fissures, as controlled stretching can reduce muscle tension, promote healing, and prevent future tears. It can also aid in post-surgical recovery, helping to prevent scarring and maintain proper sphincter function.
Why Choose Bespoke Surgical?
Bespoke Surgical is the leading destination for expert anal dilation services, led by Dr. Evan Goldstein, a renowned specialist in sexual health and wellness. As the Founder and CEO of Bespoke Surgical, Dr. Goldstein brings decades of surgical expertise and a whole-life approach to patient care, ensuring safe, effective, and personalized treatment. Recognized as one of NYC’s top LGBTQ+ business leaders, he is dedicated to advancing sexual health with discretion, innovation, and compassionate care.
Anal Stretching Services: The Procedure
Anal training services performed in a medical setting provide professional, controlled treatment for conditions such as anal stenosis, chronic anal fissures, and post-surgical recovery. To safely and effectively improve anal flexibility and function, procedures like anal dilation are conducted during physical therapy visits, guided by experienced specialists such as Steven Lavender at Bespoke Surgical.
In-Office Anal Dilation Procedures
- Manual Dilation – A healthcare provider uses a lubricated, gloved finger or specialized dilators to gently stretch the anal canal, gradually increasing pressure to improve muscle relaxation and flexibility. This method is often used to alleviate discomfort from anal fissures or stenosis.
- Progressive Dilator Therapy – Medical-grade dilators of increasing size are inserted under the doctor’s supervision, ensuring controlled stretching without injury. This approach is particularly beneficial for patients recovering from surgery or those experiencing chronic tightness.
- Botox-Assisted Dilation – In some cases, Botox injections may be used to temporarily relax the anal sphincter muscles, making dilation more effective and reducing pain associated with conditions like chronic fissures or muscle spasms.
- Lateral Internal Sphincterotomy (If Needed) – For severe cases of anal stenosis or chronic fissures that do not respond to dilation alone, a minor surgical procedure called a lateral internal sphincterotomy may be performed to relieve pressure and facilitate healing.
Risks of Anal Dilation Services
While anal dilation services can be highly effective for treating conditions like anal stenosis, chronic fissures, and post-surgical recovery, however, there are potential risks associated with this procedure. Having this procedure completed by an experienced professional significantly reduces the chances of this happening.
Possible Risks Include:
Tearing or Injury – Overstretching or using improper technique can lead to small tears in the anal tissue, which may cause pain, bleeding, or an increased risk of infection.
Pain or Discomfort – Some patients may experience temporary soreness or discomfort, particularly if the muscles are especially tight or if dilation is done too quickly.
Infection – Any procedure involving the anal canal carries a risk of infection, especially if tools are not properly sanitized or if small fissures develop.
Scarring or Fibrosis – Repeated stretching, especially after surgery, may lead to scar tissue formation, which can contribute to further stenosis if not properly managed.
How Do I Know if Anal Stretching Services Are Right for Me?
If you have persistent anal fissures despite following an at-home dilation protocol or are struggling to achieve progress on your own, it may be time to seek professional care. While at-home stretching is often effective for improving flexibility and preventing fissures, some individuals may require additional support through in-office treatments.
You may need anal stretching services if you experience:
- Chronic Anal Fissures – Painful tears that do not heal despite self-care efforts.
- Anal Stenosis – A feeling of tightness or difficulty passing stool due to the narrowing of the anal canal.
- Pain or Discomfort During Anal Penetration – If dilation at home is ineffective or causes excessive pain.
- Post-Surgical Recovery Needs – If you’ve had an anal procedure and need professional guidance to restore flexibility.
In these cases, Dr. Evan Goldstein at Bespoke Surgical can provide expert evaluation and recommend the best course of action, whether it’s in-office physical therapy, medically supervised anal training, or surgical correction if necessary. Seeking professional treatment can help prevent further complications and improve long-term anal health.
Is Anal Stretching Permanent?
No, anal stretching is not permanent. The anal sphincter is a muscle that can regain tightness over time if regular stretching is not maintained. For medical conditions like anal stenosis or fissures, ongoing maintenance may be needed for those receiving anal dilation services.
What preparation is needed for anal dilation services?
No prep is needed for anal dilation other than having a normal bowel movement.
Is anal dilation painful?
While some discomfort is normal, professional dilation services are designed to be as gentle and pain-free as possible. Proper technique, lubrication, and a gradual approach help minimize discomfort.
How long does it take for anal dilation to work?
The timeline varies by individual and condition. Some may see improvement in weeks, while others may require ongoing dilation therapy for long-term results.
Can I perform anal dilation at home?
Yes, at-home dilation with medical-grade dilators is an option for many. However, professional anal dilation services ensure safety and effectiveness, especially for medical conditions.
Can anal dilation help with pain during sex?
Yes, controlled anal dilation services can improve flexibility and reduce discomfort during penetration, making intercourse more comfortable over time.
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PHYSICIANS
Dr. Evan Goldstein, D.O.
Dr. Evan Goldstein is the Founder and CEO of Bespoke Surgical, NYC’s leading sexual health private practice. He received his osteopathic doctorate from the University of Medicine and Dentistry School in 2002 and completed his residency in General Surgery at Maimonides Medical Center. In 2020, he was named one of NYC’s top LGBTQ+ business leaders by Crain’s New York and he is involved with GLSEN, ACRIA, HRC, and Callen-Lorde’s Howard J. Brown Society. All of these experiences and affiliations have shaped his whole-life approach towards the practice of private surgical care and sexual wellness.
Read More Dr. Evan Goldstein’s NPI recordClick to send an email to egoldstein@bespokesurgical.com
Experience Expert Care in a Comfortable Setting
At Bespoke Surgical, we provide specialized, patient-focused care in a modern and welcoming environment. Led by Dr. Evan Goldstein, our practice is dedicated to advancing anal health with expert medical guidance, cutting-edge treatments, from a doctor who understands.
From consultation to recovery, we ensure every patient receives personalized care tailored to their unique needs. Our state-of-the-art office offers a private and professional atmosphere where comfort, safety, and expertise come together to deliver the best possible experience.
From Our Clients
Bespoke Location, Hours, & Contact
Bespoke Surgical is located in Manhattan, in the Greenwich Village neighborhood, and easily accessible by car or public transportation.
