A universal mechanical dilator combined with massaging action comprises a probe (12) consisting of a two rods (22 and 24), a drive unit (14) and an adapter (16) that connects the probe (12) to the drive unit. The instrument is intended for dilation of the urethra or other ducts of a human body and can operate in three different modes: pure dilation, pure vibration, and dilations combined with vibrations. This is achieved by using the adapter (16) as an adjustable coupling. The probe (12) together with the adapter (16) can be disconnected from the drive unit (14) and used separately as a mechanical manual dilator. At its distal end, the probe (12) has means for connecting replaceable tips (28a, 32a) used for various applications, i.e., urethral, anal, vaginal, etc. The invention also relates to a method of treatment of voiding or an orectal diseases by combining dilations with vibrations. The instrument can also be used for training sphincteric muscles.