[Incidence of urination disorders and erectile dysfunction after surgical treatment of congenital anorectal defects in children].
For assessment of the incidence and characteristics of urination disorders and erectile dysfunction after radical surgical treatment of anorectal congenital defects in children, 60 patients (12 girls, 48 boys) without urination disorders before operation, who have undergone 1-4 proctoplasties were examined. Their was Hirschsprung's disease in 20 patients, anorectal atresia in 40 patients. Iatrogenic urination disorders and erectile dysfunction were revealed in 38 (63.3%) patients, majority of them (24) underwent repeated proctoplasty. The main urination disorders were urinary incontinence (30 patients), infravesical obstruction (10), hyporeflexion of urinary bladder. Erectile dysfunction after operation was in 11 (34.4%) patients from 32. The combination of disorders was revealed in 17 (44.7%) patients. Primary radical operations in children with anorectal defects often cause iatrogenic urination disorders and erectile dysfunction. The number of complications increases progressively after repeated proctoplasty. It is necessary to improve the treatment and the methods of surgical correction bearing in mind the risk of iatrogenic disorders of genitourinary apparatus.
Nikolaev
V V
VV
Ionov
A L
AL
Shcherbakova
O V
OV
D000293:Adolescent; D000367:Age Factors; D001003:Anal Canal / Q000002:abnormalities*; D002648:Child; D002675:Child, Preschool; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D007172:Erectile Dysfunction / Q000209:etiology*; D005260:Female; D006627:Hirschsprung Disease / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D007409:Intestinal Atresia / Q000601:surgery*; D008297:Male; D012007:Rectum / Q000002:abnormalities* / Q000601:surgery*; D012086:Reoperation; D014555:Urination Disorders / Q000209:etiology*