Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations.
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.
Martins
J L
JL
Department of Imaging Diagnosis, Universidade Federal de São Paulo, Brazil.
Lederman
H M
HM
Pinus
J
J
D002648:Child; D002675:Child, Preschool; D019841:Defecography; D005260:Female; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D011184:Postoperative Period; D012007:Rectum / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*