Myth vs Fact: Do All Children Need Anal Dilations After PSARP?
Carousel1 min read·Published Oct 2026

Myth vs Fact: Do All Children Need Anal Dilations After PSARP?

Title slide asking whether all children need anal dilations after PSARP surgery, with myth vs fact format.
Myth vs Fact slide questioning whether anal dilations after PSARP remain standard practice in pediatric surgery.
Myth slide stating every child needs mandatory anal dilations after PSARP repair with stethoscope icon.
Title slide announcing a detailed video breakdown available via link in bio, sponsored by Cincinnati Children's.
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Carousel · Oct 2026 · 1 min read

In brief

In brief

This educational carousel addresses the common misconception that all children require anal dilations following posterior sagittal anorectoplasty (PSARP) for anorectal malformations. The content examines evidence-based postoperative management protocols and helps surgeons distinguish which patients truly benefit from dilation regimens.

Written by the GCMD Library team from the carousel.

Slides

6 pages · click to turn to one

A clinical comparison chart displaying three treatment modalities in vertical columns with icons, percentage metrics, and outcome indicators. Each column uses distinct color coding and includes graphical representations of success rates, complication profiles, and patient ambulation outcomes. The layout emphasizes quantitative comparisons through bar charts and numerical data points.

Colorectal surgery. A social-media carousel made possible by Cincinnati Children's.
The text in the image

Pediatric Achalasia: Surgical Approach Comparison | Heller Myotomy | 78% Success Rate | Esophageal Dilatation | 45% Success Rate | POEM (Per-Oral Endoscopic Myotomy) | 99% Success Rate | Complication Rates | Training Requirements | Ambulation Outcomes | 742 Cases Reviewed | Lines A and B: 71-83% Ambulation | Without Cells: 20% Ambulation | Neuroprotection Study | Ovine Model | Human Placental Mesenchymal Stromal Cells | In Utero Myelomeningocele Repair

The text on each slide
  1. Made possible by | Cincinnati Children's | changing the outcome together | Myth vs Fact | DO ALL CHILDREN NEED ANAL DILATIONS AFTER PSARP? | Swipe right
  2. Made possible by | Cincinnati Children's | changing the outcome together | Myth vs Fact | For decades, every child received anal dilations after PSARP. | Is this still the standard? | Swipe right
  3. Myth | Every child needs mandatory anal dilations after PSARP repair. | Swipe right
  4. Fact | There isn't strong evidence to support mandatory dilation — and it can cause stress for families. | Karen Elizabeth Speck, MD, MS, FACS | Director Pediatric Colorectal Surgery, University of Michigan Medical School | Single-institution review: Outcomes were similar between dilation and no-dilation groups. | Swipe right | Cincinnati Children's
  5. ✓ Fact | DECISIONS SHOULD BE INDIVIDUALIZED: | • Patient age — neonates often dilate; • older kids may find it traumatic | • Family access to outpatient follow-up | • HMA is a safe, minimally invasive alternative | Aaron Garrison, MD | Pediatric Surgeon, Cincinnati Children's | Swipe right
  6. Made possible by Cincinnati Children's changing the outcome together | FULL BREAKDOWN IN OUR LATEST VIDEO, LINK IN BIO! | GC
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