Posterior sagittal anorectoplasty results in better bowel function and quality of life in adulthood than pull-through procedures

Journal of Pediatric Surgery
Johan DanielsonTomas Wester

Abstract

The short-term outcome of posterior sagittal anorectoplasty (PSARP) procedure has been reported to be better than after abdominoperineal or abdominosacroperineal (AP) procedures. This study aimed to investigate the long-term functional outcome and quality of life after PSARP in adulthood and compare with the outcome after AP procedures. Twenty-four patients operated with PSARP at the Department of Pediatric Surgery, Uppsala, Sweden, from 1984 to 1993 were identified. They were compared with 20 patients that underwent AP pull-through procedures from 1974 to 1983. The patients were sent validated bowel function and quality of life (SF-36) questionnaires. Sixteen PSARP (median age 21, five females) patients and fourteen AP patients (seven abdominosacroperineal and seven abdominoperineal pull-throughs, median age 32, seven females) responded and were included in the study. The median Miller incontinence score was 1 (range 0-13) in the PSARP group and 10 (range 3-16) in the pull-through group (P=0.0042). The use of underwear protection and oral loperamide was significantly less frequent in the PSARP group (P=0.0096 and 0.0021 respectively). The SF-36 scores of Vitality, Mental health and Mental Cluster Scale were higher in the PSARP...Continue Reading

References

Feb 1, 1977·Journal of Pediatric Surgery·H H Nixon, P Puri
Feb 1, 1988·The British Journal of Surgery·R MillerN J Mortensen
Oct 1, 1982·Journal of Pediatric Surgery·P A deVries, A Peña
Jun 1, 1996·Scandinavian Journal of Gastroenterology·A OsterbergL Påhlman
May 18, 2001·Archives of Pediatrics & Adolescent Medicine·S ChoT Fangman

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Citations

Feb 29, 2016·Journal of Pediatric Surgery·H J J van der SteegI de Blaauw

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