Update Course Rewind: Anal Dilation Following PSARP 2023
▶Ep 54 · 2:25
clinicalStricturoplasty is a satisfying operation that takes about 20 minutes, allows same-day discharge, and babies tolerate it very well.↗
▶Ep 54 · 2:25
quoteOne of my hesitations around saying, okay, great, we're not going to dilate and we just move to a place where if they end up with a persistent structure, they get an anoplasty, but how does that impact continence?↗
▶Ep 54 · 2:25
clinicalStricturoplasty is appropriate only for skin level strictures, not for longer strictures or anything deeper below the skin.↗
▶Ep 54 · 2:25
clinicalStricturoplasty converts a Hagar 10 into a Hagar 13.↗
▶Ep 54 · 2:25
quoteIt is actually a very, very satisfying operation for a skin level structure. Procedure just takes about 20 minutes and kids can usually go home the same day.↗
▶Ep 54 · 4:11
clinicalWhen children are older than 6-8 months, dilations are sometimes not successful and may result in dealing with stricture anyway.↗
▶Ep 54 · 6:07
opinionFor international audiences where access to surgery is limited and patients cannot afford a second surgery, dilations should be encouraged.↗
▶Ep 54 · 6:07
quoteI could interpret that data differently and be like, actually, I'll recommend dilations for places where access would be an issue and just coming back to surgery a second time, most people cannot afford that.↗