Correspondence to: Bougie dilation is simple to perform, relatively inexpensive and has a low risk of complications. With reduced stool consistency due to the CD, symptoms are often minimal, and the stricture is discovered at examination. In the past, dilation was digital or with Hegar dilators.
We perform a large number of operations for anorectal and genital malformations in our institution. Following such reconstructions, we recommend dilatation starting from the 10th to 14th postoperative day, initially twice per day for a period of 2 months and then daily for a period of at least 6 months. One or both the parents are taught the procedure in the clinic and then dilatations are done by them at home. The size of the dilators also needs to be increased periodically.