Title: Comparison of Anal Dilatation Versus No Dilatation with A Standardized Dilator in
Reducing Pain After Hemorrhoidectomy: A Randomized Control Trial
Version: 9 Date: 02 Jun 2022
Reviewer:  Mohamed El-said
Reviewer's report:
I would like to thank the authors for their response.
I have few comments:
1- Regarding the term "anal stricture", to me and to most English readers it means narrowing
of the anal canal by fibrosis due to excessive excision of the anoderm. I think the authors
use this term to indicate anal spasm which is contraction of anal sphincters in response to
hemorrhoidectomy. I think it is better to replace anal stricture in this manuscript by anal spasm.
2- The authors mentioned a study (reference 14) that assesses internal sphincterotomy
with hemorrhoidectomy and the authors mentioned that internal sphincterotomy could be
complicated by urinary incontinence which is not logical. I have reviewed this study
and it mentioned urinary retention not urinary incontinence as a complication of internal
sphincterotomy. This should be corrected.
3- The figure demonstrating Lord's anal dilatation has no reference and I think the figure is not
necessary; please you can omit this figure or mention its reference if you want to keep it.
Thank you.
Title: Comparison of Anal Dilatation Versus No Dilatation with A Standardized Dilator in
Reducing Pain After Hemorrhoidectomy: A Randomized Control Trial
Version: 9 Date: 02 Jun 2022
Reviewer:  Mohamed El-said
Reviewer's report:
I would like to thank the authors for their response.
I have few comments:
1- Regarding the term "anal stricture", to me and to most English readers it means narrowing
of the anal canal by fibrosis due to excessive excision of the anoderm. I think the authors
use this term to indicate anal spasm which is contraction of anal sphincters in response to
hemorrhoidectomy. I think it is better to replace anal stricture in this manuscript by anal spasm.
2- The authors mentioned a study (reference 14) that assesses internal sphincterotomy
with hemorrhoidectomy and the authors mentioned that internal sphincterotomy could be
complicated by urinary incontinence which is not logical. I have reviewed this study
and it mentioned urinary retention not urinary incontinence as a complication of internal
sphincterotomy. This should be corrected.
3- The figure demonstrating Lord's anal dilatation has no reference and I think the figure is not
necessary; please you can omit this figure or mention its reference if you want to keep it.
Thank you.
Please review this paper.
user
Title: Comparison of Anal Dilatation Versus No Dilatation with A Standardized Dilator in
Reducing Pain After Hemorrhoidectomy: A Randomized Control Trial
Version: 9 Date: 02 Jun 2022
Reviewer:  Mohamed El-said
Reviewer's report:
I would like to thank the authors for their response.
I have few comments:
1- Regarding the term "anal stricture", to me and to most English readers it means narrowing
of the anal canal by fibrosis due to excessive excision of the anoderm. I think the authors
use this term to indicate anal spasm which is contraction of anal sphincters in response to
hemorrhoidectomy. I think it is better to replace anal stricture in this manuscript by anal spasm.
2- The authors mentioned a study (reference 14) that assesses internal sphincterotomy
with hemorrhoidectomy and the authors mentioned that internal sphincterotomy could be
complicated by urinary incontinence which is not logical. I have reviewed this study
and it mentioned urinary retention not urinary incontinence as a complication of internal
sphincterotomy. This should be corrected.
3- The figure demonstrating Lord's anal dilatation has no reference and I think the figure is not
necessary; please you can omit this figure or mention its reference if you want to keep it.
Thank you.
assistant