Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations

• Main Author: Martins,José Luiz
• Publication Date: 1997
• Other Authors: Lederman,Henrique Manoel, Pinus,José
• Format: Report
• Language: eng
• Source: São Paulo medical journal (Online)
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801997000600002
• topic: Anorectal malformations; Posterior sagittal anorectoplasty

The PSARP is today the most-used surgical technique for correction of high and intermediary anorectal malformations.There is much controversy in the literature about the post-operative evaluation of these cases. We studied 27 cases of anorectal malformations from clinical and radiological aspects, in order to analyse: 1. Fecal continence 2.Relationship between post-operative fecal continence and the associated sacral anomalies 3.Relationship between the radiological evaluation by defecogram and fecal continence From the analysis of the cases, we concluded: 1. Fecal continence was achieved in 48.14% of the cases; partial continence in 25.92%; and fecal incontinence in 25.92% of the cases. 2.The presence of fecal incontinence was directly related to the associated sacral anomalies.