Latest news with #FutureMethod
New York Post
31-07-2025
- Health
- New York Post
‘Dr. Butthole' reveals surprisingly common problem that can make pooping hell — Botox can help
No need to crack under pressure. Each year, an estimated 250,000 Americans suffer a small tear or crack in the lining of their anal canal, which can lead to painful and bloody bowel movements. 'Anal fissures are incredibly common, especially among people who engage in anal sex,' Dr. Evan Goldstein, founder and CEO of Bespoke Surgical in Manhattan and the Future Method sexual wellness brand, told The Post. 6 Dr. Evan Goldstein has developed a regimen for addressing anal fissures. 'They can be caused by a number of things: sometimes it's muscular, like spasms or tightness during bowel movements or bottoming,' added the anal surgeon, who goes by 'Dr. Butthole.' 'Other times, it's structural: thinner skin or tissue that simply can't accommodate penetration or pressure, which we often see in women.' It sounds really tear-ible, but Goldstein reports that there are three major ways to wipe out anal fissures. Here's what you should do to prevent — and treat — this gaping problem. Anal fissure symptoms Brutal and annoyingly persistent pain that feels like you're pooping glass Blood Spasms or tightness in the muscle Burning or itching around the anus A visible tear in the anal skin Constipation 6 Anal fissures can lead to painful and bloody bowel movements. cunaplus – Most fissures start acute — around 50% or more heal on their own. Left untreated, a fissure can progress to a chronic problem. 'The tissue becomes fragile and prone to re-tearing,' Goldstein explained. 'You might develop skin tags or scar tissue that affects both function and appearance.' At-home remedies If you're dealing with a new fissure, the tush technician typically recommends this protocol for a week. An over-the-counter stool softener like Colace three times a day A fiber supplement such as Metamucil Calmol 4 suppositories twice a day Sitz baths with Epsom salts A prescription compound ointment (pea-sized amount of Lidocaine 2% / Anusol 2.5% / Cardizem 2%) that is applied at night, in the morning and after bowel movements High-fiber foods like grains, fruits, veggies, legumes and seeds Eight to 12 10-ounce glasses of water daily No caffeine because it dehydrates Gently wash and blow dry the area. Limit wiping and don't use baby wipes or medicated pads because they can contain chemicals that delay healing. Healing takes time — try to be patient. 'The area is delicate, and every bowel movement is a potential setback,' Goldstein said. 'But don't avoid pooping.' 6 Anal fissures, anal fistulas and hemorrhoids can cause pain, bleeding and discomfort while pooping. Loh – If there's no improvement after five to seven days, or if it's a recurring issue, it's time to see a specialist. An evaluation can include a physical exam, anoscopy to examine the anal canal and rectum, anal manometry to assess the anal and rectal muscles and a skin analysis. From there, Goldstein suggests one of three paths. Acute care Topical therapies, such as prescription creams, suppositories and stool softeners, aim to reduce inflammation. 'Once symptoms stabilize,' Goldstein said, 'we introduce at-home anal dilation using the Future Method Glass Anal Dilators and then the Future Method Silicone Anal Cone to gently train the area.' 6 A proctologist performs a rectal exam to diagnose and treat conditions related to the colon, rectum and anus. Tatsiana – Dilation is like physical therapy for your butt, helping to manage scar tissue and improve muscle tone. The glass dilators focus on the deeper muscle mechanics and the mind-body connection, while the silicone cone targets the skin and rim tissue. Botox and tissue optimization You've heard of Botox, but did you know there is Butt-tox? 'For more chronic or recurrent fissures, anal Botox has been a game changer,' Goldstein said. 'It works by temporarily relaxing the anal muscles to reduce pressure and allow healing.' 6 Administering anal Botox is a booming business in the Big Apple. Piotr Marcinski – Butt-tox typically lasts three to four months. Goldstein tends to recommend two or three in-office rounds, paired with at-home dilation and pelvic floor therapy. 'We also use a radiofrequency device called TempSure to stimulate collagen production in the anal tissue,' he said. 'This specialized treatment thickens the skin, improves elasticity and helps the tissue better tolerate pressure from both bowel movements and sex.' Fissure surgery 'When a fissure has progressed to scarring or excess tissue, Botox alone won't cut it,' Goldstein said. 'Many people come to me after failed treatments elsewhere.' The scar tissue needs to be surgically removed to rebuild the area with healthy, pliable skin. 6 The first three days after anal fissure surgery are the most painful. 'You're not going to love me,' Goldstein admits. Satjawat – Patients can usually return to the gym and basic activity within five days of anal fissure surgery. They can resume masturbating and vaginal sex one to two weeks after the procedure and anal play and sex by the third month. Dilation and physical therapy help with long-term success. Prevention of fissures 'It all comes down to pressure — too much of it, from too many angles,' Goldstein said. 'Hard bowel movements, pushing too hard, sitting too long, skipping lube or using the wrong kind, toys that are too big — or too pointy — all of these increase your risk of fissures.' Here's what to do instead:
Daily Mail
27-06-2025
- Health
- Daily Mail
Secret sign of cancer you could have missed revealed as expert makes grave warning
A doctor has revealed the secret signs of anal cancer - and why it's often confused for something else. Dr. Goldstein explained around 90 percent of anal cancers - dubbed the 'silent disease' due to its lack of symptoms - stem from the human papillomavirus (HPV) - and anal warts. 'Anal cancer stems from the HPV virus and, for many, from the development of anal warts,' Dr. Goldstein, founder and CEO of Bespoke Surgical and Future Method, told New York Post. The expert explained this could look like a single bump near the anus or as a cluster that resembles cauliflower, which can be raised or flat. 'Many think they are just skin tags and then find out it's anal warts from HPV,' said Dr. Goldstein, who also authored: Butt Seriously: The Definitive Guide to Anal Health, Pleasure and Everything In Between. He described anal warts as 'painful and itchy' and said they can 'lead to bleeding.' Treatment includes topical medications, cryotherapy or surgical removal, although some patients don't have any symptoms and may not know they have anal warts. The body's immune system often clears HPV infections naturally, usually within a few years, but some linger. While nine out of 10 HPV infections go away on their own, Johns Hopkins notes if the infection becomes persistent or more severe due to a weakened immune system, HPV can cause cancers later in life, including anal cancer. The risk of developing anal cancer is around one in 500, according to the American Cancer Society. The site noted that this number was particularly high among white and Hispanic women over the age of 65. Anal cancer symptoms can be similar to those of hemorrhoids and anal fissures, sometimes making it harder to diagnose. The main symptoms are bleeding from the anus, itching and pain, as well small lumps around and inside your bottom and a discharge of mucus and inconsistent stool. 'The idea is to catch this early with early detection anal pap smears and full anoscopy with an appropriate anal practitioner,' Dr. Goldstein explained. 'The more we talk about anal health and standardize yearly evaluations, similar to genecology appointments, the better all of us will be,' he added. Dr. Goldstein often shares information about anal health, revealing a critical mistake people are making after using the toilet, explaining it could lead to serious health issues over time. The leading proctologist says 'traditional wiping' with toilet paper is causing unnecessary damage and is even more concerned about the popularity of using wet wipes to complete the job. Speaking to HuffPost for Am I Doing It Wrong? Dr Goldstein explained that the skin around the anus is sensitive, and wiping with toilet paper can easily lead to irritation, small tears, and long-term damage. It's a problem that he sees far too often in his clinic, and it's only getting worse as more people rely on wet wipes for a 'cleaner' finish. 'They are so terrible - not only for the environment, but for your hole,' he said. 'There's so many companies out there throwing wipes and I think they should all be banned. I see 90 people a week [in my office], and I would say one-third of all the people coming through are coming in from wet wipe-induced issues.' According to Dr Goldstein, wet wipes are soaked in chemicals which can disrupt the microbiome of the area, which can lead to bacterial infections and painful skin conditions.
