UNASSIGNED: Purpose   The objective of this study was to investigate the current practices of anal dilations after anorectal reconstruction for @entity2463 ( @entity2463 ) in different centers. Materials and Methods   An online survey, consisting of 27 questions about the practice of anal dilations, was launched in March 2015 among 54 pediatric surgeons with expertise in colorectal surgery. The survey was divided into three sections. The first section included questions regarding the country of origin, the role in the department, the average number of ARM cases treated per year, and the surgical approach used to repair @entity2463 . The second section was accessible only for surgeons who perform anal dilations and enquired about their modality of performing anal dilations-their attitude toward complications such as @entity3577 , @entity548 , or perineal dehiscence occurring during dilations-and about the incidence of @entity3577 , which required surgical repair, in their series of @entity1 with @entity2463 . The third section was accessible only for surgeons who do not perform anal dilations and enquired the incidence of @entity3577 that required surgical repair in their series of @entity1 with @entity2463 . Results   A total of 36 pediatric surgeons from 20 countries completed the survey. All @entity1 performed anal dilations. Twenty-five (70%) surgeons performed the first dilation 14 days after anorectal reconstruction; 30 (83%) surgeons performed it in the outpatient clinic; 34 (94%) surgeons used metal dilators and 30 (83%) surgeons lubricated the dilator with an anesthetic/steroid-free ointment; 21 (59%) surgeons tailored the first dilator size to the specific anatomical features of each @entity1 ; 27 (75%) surgeons used 1-mm-diameter increments in the dilator size and 22 (61%) surgeons increased the size weekly; 16 (45%) surgeons followed up with the @entity1 weekly until the proper dilator size was reached. This was determined according to Pe  a's protocol by 25 (70%) surgeons: 23(64%) surgeons initially performed dilations twice daily; 24(66%) surgeons tapered the frequency of dilations once the desired caliber was reached. No general agreement exists in the management of complications such as @entity3577 , @entity548 , or perineal dehiscence occurring during dilations. Incidence of @entity3577 and @entity850 was reported less than 5%, respectively, by 25(70%) and 29(81%) respondents. Conclusion   Anal dilations for ARM are performed worldwide according to different modalities. Prospective and randomized clinical trials could be useful to establish a standardized protocol.

The Practice of Anal Dilations following Anorectal Reconstruction in @entity1 with XXXX : An International Survey.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity2463 :: ('MESH:C537771', 'Disease') :: ['anorectal malformations', 'ARMs'] @entity850 :: ('MESH:D003251', 'Disease') :: ['anal stenosis'] @entity3577 :: ('MESH:D056887', 'Disease') :: ['rectal prolapse and/or anal stenosis', 'rectal prolapse']
@entity2463 :: (MESH:C537771,Disease) :: ['Anorectal Malformations']
