State of the Practice: Anorectal Disease Monday, May 2, 4:15 - 5:15 pm CME Credit Hours: 1 Oftentimes, colorectal surgeons are faced with complex anorectal problems. Decision making and many operative techniques can be complex and not well understood by all. Colorectal surgeons are required to have a current and comprehensive understanding of anorectal conditions and use that knowledge to provide their patients with optimal care. This session will highlight the strategies to help arm the colorectal surgeon with the techniques, tools and decision making required to confront the most complex and difficult anorectal operative scenarios. Objectives At the conclusion of this session, participants should be able to: Describe the pathophysiology of benign anorectal conditions including anal dysplasia, complex anal fistula, pilonidal disease, algorithmic management of pruritis ani while offering patients the spectrum of nonsurgical and surgical management Identify when and when not to operate for perianal crohn's fistulae; what are the surgical options for crohn’s anal fistulae Recognize difficult operative scenarios of anal fistulae Agenda Co-Directors: Karim Alavi, MD, Worcester, MA Robert Amajoyi, MD, Kansas City, MO 4:15 pm Introduction Robert Amajoyi, MD, Kansas City, MO 4:17 pm Current Management of AIN III Philip Kondylis, MD, Kansas City, MO 4:27 pm Management of Rectovaginal and Rectourethral Fistulae Baljit Singh MD, Leicester, United Kingdom 4:37 pm Pilonidal Disease: To Flap or Not to flap Izi Obokhare, MD, Amarillo, TX 4:47 pm Management of Anal Fistulae in the Setting of Perianal Crohn's Disease Joseph Terlizzi, MD, NY, New York 4:55 pm Perianal Dermatoses and Pruritus ani: It is Quite Itchy Down There Mark Sun, MD, Coon Rapids, MN 5:05 pm Hemorrhoids Management in the 21st Century Sue Hahn, MD, New York, NY 5:12 pm Discussion Karim Alavi, MD Worcester, MA 5:15 pm Adjourn