403266

A comparative study between early and late correction of cases of Anorectal malformation, assessed by fecal and urinary functional outcome

Article

Last updated: 13 Jan 2025

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Tags

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Abstract

Background: Anorectal malformation (ARM) includes a wide spectrum of anomalies of the anorectal and urogenital region. They are not rarely associated with orthopedic, spinal, and neurologic abnormalities effecting the short- and long-term outcome. anorectoplasty at an early age is important for obtaining a better life quality in ARM patients.
Aim: Aim of the work to study defecation and urinary functional outcome according to timing of correction of ARM.
Patients and Methods: This was a cross sectional study conducted at patients with anorectal malformations (perineal fistula, rectourethral fistula, rectovesical fistula, vestibular fistula, no fistula, anal stenosis), at the Ain Shams pediatric surgery department and Qena pediatric surgery unit.
Results: bowel function and quality of life were significantly higher in early correction group compared to late correction group(p<0.001). The mean of the quality of life in the early and late correction groups was 12.83± 0.59 and 11.13± 2.73 respectively.
Conclusion: Early anorectoplasty and early appropriate bowel management is advisable, as that is essential for less fecal and urinary functional complications, and for proper life quality.

DOI

10.21608/ejsur.2024.318070.1186

Keywords

Anorectal malformation, Bowel movement, Anorectoplasty, Fistula

Authors

First Name

Ahmed

Last Name

Himhamy

MiddleName

-

Affiliation

Department of Pediatric Surgery Unit, Faculty of Medicine, South Valley University, Qena, Egypt.

Email

drahmedhimhamy@med.svu.edu.eg

City

-

Orcid

-

First Name

Osama

Last Name

El-Naggar

MiddleName

-

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Soliman

MiddleName

Hisham

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Dahab

MiddleName

Moussa

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Bersy

MiddleName

Ali

Affiliation

Department of Pediatric Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Email

-

City

-

Orcid

-

First Name

Nezar

Last Name

Abo-Halawa

MiddleName

-

Affiliation

Department of Pediatric Surgery Unit, Faculty of Medicine, South Valley University, Qena, Egypt.

Email

drnezar1@gmail.com

City

-

Orcid

0000-0002-1647-915

Volume

44

Article Issue

1

Related Issue

52678

Issue Date

2025-01-01

Receive Date

2024-09-03

Publish Date

2025-01-01

Page Start

379

Page End

383

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_403266.html

Detail API

http://journals.ekb.eg?_action=service&article_code=403266

Order

403,266

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

A comparative study between early and late correction of cases of Anorectal malformation, assessed by fecal and urinary functional outcome

Details

Type

Article

Created At

07 Jan 2025