The Dilator Casebook: From the Set's Edge to Healing Tissue

• dilator-therapy
• receptive-intercourse
• medical-trauma
• tissue-healing
• nervous-system
• when-to-refer

Simon's patient is training toward receptive intercourse and has maxed out the entire dilator set, with a gap left to his partner and real medical trauma underneath, a sphincterotomy and a Botox injection that went badly. Steven treats the dilator as graded rehab, not a ruler, bridges with a toy matched to the partner, and deliberately defers a separate, harder fistulotomy case for a full Tribe write-up.