Anal dilatation in children with anorectal malformations

Abstract

Following a Posterior Sagittal Anorectoplasty (PSARP), infants require daily anal dilations to prevent stenosis of the new neoanus and obtain optimal width of the anal opening. In this article, Stephanie Orr looks at anorectal malformations, their classification, how they are surgically managed, and the role anal dilatation plays in the care of the infant post PSARP. As anal dilatation is widely performed throughout surgical centres in the UK and Ireland, the Paediatric Stoma Nurse Group (PSNG) have worked together to produce a comprehensive parent information leaflet to support parents who are carrying out anal dilatation on their child. This article will also examine the reasons why the leaflet was created and its benefits.