Anorectal anomalies in the male: revisiting the radiological classification | ||||
Annals of Pediatric Surgery | ||||
Volume 16, Issue 1, January 2020 PDF (1.94 MB) | ||||
DOI: 10.1186/s43159-020-00054-8 | ||||
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Authors | ||||
Amr Abdelhamid AbouZeid ; Shaimaa Abdelsattar Mohammad; Sherif Elhussiny Ibrahim; Leila Rawash ElDieb | ||||
Abstract | ||||
Background Classifying anorectal anomalies (ARA) has always been a matter of debate among pediatric surgeons. A new classification does not necessarily imply discarding older ones. Several concepts have been introduced in the past and stood the test of time being still valid up till now Results The study included 62 consecutive male patients with anorectal anomalies who underwent PSARP between 2009 and 2019. Included cases were either recto-bulbar fistula (21 cases), recto-prostatic fistula (30 cases), or imperforate anus without fistula (11 cases). Their age at operation ranged from 3 to 36 months (mean 7.8 months). Conclusion In management of anorectal anomalies, the sacrum can provide two important indicators: a prognostic value for continence, and anatomical landmark to stratify the level of distal rectum in the pelvis which is crucial for planning the best surgical approach. | ||||
Keywords | ||||
Recto-bulbar; Recto-prostatic; PSARP; Anorectal malformations; Colostogram; Imperforate anus | ||||
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