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Published on: October 12, 2017
Urogenital anomalies associated with anorectal malformations in children
M S Alam1, M K Chowdhury, M K Islam
1Department of Paediatric Surgery, Mymensingh Medical College.
Insights
Anorectal malformations (ARM) frequently involve the urogenital tract, increasing child morbidity. This study found 16.13% of ARM patients had urogenital issues, necessitating careful management for better outcomes.
Area of Science:
- Pediatric Surgery
- Urology
- Congenital Abnormalities
Background:
- Anorectal malformations (ARM) are frequently associated with urogenital tract defects.
- These co-occurring anomalies significantly increase morbidity in affected children.
- Early identification and management are crucial for improving outcomes.
Purpose of the Study:
- To determine the incidence of urogenital anomalies in patients with ARM.
- To analyze the types of urogenital anomalies associated with different ARM classifications.
- To discuss optimal management strategies and expected outcomes for these complex cases.
Main Methods:
- Retrospective study design.
- Analysis of 155 patients with ARM admitted between 1998-2002.
- Identification and classification of associated urogenital abnormalities.
Main Results:
- 47% of ARM patients had anomalies in other systems.
- Urogenital abnormalities were present in 16.13% of the total ARM cohort.
- Specific types and frequencies of urogenital anomalies were documented.
Conclusions:
- Urogenital anomalies are a significant concern in ARM patients.
- Careful assessment and timely intervention are essential to minimize complications.
- Multidisciplinary management is key for improving patient prognosis.
Abstract:
The urogenital tract is the most severe and common site of associated defects in anorectal malformations (ARM). Urogenital anomalies and their complications significantly increase the morbidity in these children after the ARM is corrected. The purpose of this study was to estimate the incidence of different types of urogenital anomalies with various types of anorectal malformations and to discuss the possible management and outcome. A retrospective study of patients with ARM and associated urogenital abnormalities admitted in the department of paediatric surgery of Sylhet MAG Osmani Medical College Hospital between 1998 and 2002 was undertaken. A total of 155 patients with Anorectal malformations were admitted of which 47 (30.32%) patients had associated anomalies involving other systems. Urogenital abnormalities were found in 25 (16.13%) patients. Patients of Anorectal malformations with urogenital abnormalities require careful assessment and well-timed intervention to minimize the morbidity.
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