Bowel function and lower urinary tract symptoms in females with anterior anus treated conservatively: Controlled outcomes into adulthood

Journal of Pediatric Surgery
Kristiina KyrklundR Rintala

Abstract

Anterior anus (AA) is a low type of anorectal malformation that is seen exclusively in females, characterized by an essentially normal appearing anus in an abnormally anterior position. In AA, the anal canal is located mostly within the voluntary sphincter complex, differentiating it from a perineal fistula in females, and allowing for a nonoperative approach to management. This study aimed to characterize the controlled, long-term bowel functional outcomes and lower urinary tract symptoms (LUTS) in females with conservatively treated anterior anus. A single-institution, cross-sectional study. All females treated conservatively for AA between 1983 and 2006 were invited to answer a postal questionnaire on bowel function and lower urinary tract symptoms. Each patient was matched by age and gender to 3 controls that had answered the same questionnaire. Ethical approval was obtained. Among 45 respondents (67%; median age 10.2 (4-20) years), fecal continence was comparable to controls overall (p=NS). Constipation affected a significantly higher proportion patients (36%) than controls (13%; p=0.002) and tended to decline with age. Outcomes by bowel function score were good/normal in 93%, satisfactory in 7% and poor in none. Lower uri...Continue Reading

References

Jun 1, 1990·Journal of Pediatric Surgery·R RintalaI Louhimo
Jul 1, 1987·Journal of Pediatric Gastroenterology and Nutrition·J A Bar-Maor, A Eitan
Mar 1, 1995·Journal of Pediatric Surgery·R J Rintala, H Lindahl
Jun 1, 1997·Journal of Pediatric Surgery·R J RintalaM Rasanen
May 14, 2005·Current Opinion in Pediatrics·Marc A Levitt, Alberto Peña
Jul 14, 2010·Journal of Pediatric Surgery·Marc A LevittAlberto Peña
Sep 17, 2010·Pediatric Surgery International·Mikko P Pakarinen, Risto J Rintala
May 19, 2012·Diseases of the Colon and Rectum·Kristiina KyrklundMikko P Pakarinen
Jul 13, 2013·Journal of Pediatric Surgery·Laura LombardiGiuseppe Martucciello

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Citations

Oct 25, 2016·The Journal of Urology·Kristiina KyrklundMikko P Pakarinen
Mar 11, 2019·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·George KosmadakisDidier Aguilera
Feb 12, 2017·The Journal of Urology
Apr 27, 2021·Journal of Pediatric Surgery·Miriam DuciPaola Midrio

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