Role of sagittal anorectoplasty in treating constipation in patients with recto-perineal fistula | ||||
| Annals of Pediatric Surgery | ||||
| Volume 16, Issue 1, January 2020 PDF (742.4 K) | ||||
| DOI: 10.1186/s43159-019-0016-6 | ||||
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| Authors | ||||
Moustafa Mohamed Mahmoud Bayoumi   ; Ayman Mostafa Allam; Amr Abdelhamid AbouZeid
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| Abstract | ||||
| Background Recto-perineal fistula is a common anorectal anomaly, affecting both males and females. The anus is abnormally anteriorly located and is usually stenotic. Management of recto-perineal fistula is a dialectic problem. The most common presenting complaint is constipation; also, long-term follow-up of these patients revealed high incidence of postoperative constipation. Results The study included 30 patients (19 female and 11 male). Their age at time of repair ranged from 3 to 78 months. We compared the pre- and postoperative constipation rate after limited posterior sagittal anorectoplasty (PSARP) using Krickenbeck score. Overall, the rate of constipation has dropped from 77 (23/30) to 30% (9/30) after surgery. Fourteen patients out of 23 patients with preoperative constipation were cured. Another patient with preoperative constipation improved regarding the grade of constipation. The remaining 8 patients with preoperative constipation did not show improvement after operation. These results were statistically significant (McNemar test). Out of the 9 patients who were still constipated after surgery, 7 had associated fecal soiling that showed good response with bowel management of constipation. Conclusion Limited posterior sagittal anorectoplasty can have a role in treating constipation among cases of recto-perineal fistula. | ||||
| Keywords | ||||
| Anorectal malformation; constipation; Recto-perineal fistula; Anorectoplasty | ||||
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