Related Experiment Video

Updated: Mar 25, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
05:25

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

Published on: August 14, 2019

20.5K

Lower urinary tract symptoms in children with anorectal malformations with rectoperineal fistulas

Pernilla Stenström1, Hanna Sandelin2, Ragnhild Emblem3

  • 1Department of Pediatric Surgery, Skane University Hospital, Institution of Clinical Science, Lund University.

Journal of Pediatric Surgery
|February 24, 2016
PubMed

Insights

Children with anorectal malformations with rectoperineal fistulas (ARM-P) experience more lower urinary tract symptoms (LUTS) than healthy peers. Those with urinary tract anomalies (UTA) show increased LUTS, necessitating regular follow-up.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Congenital Malformations

Background:

  • Anorectal malformations with rectoperineal fistulas (ARM-P) are congenital conditions that can impact multiple organ systems.
  • Lower urinary tract symptoms (LUTS) are common in children but their prevalence in those with ARM-P requires further investigation.

Purpose of the Study:

  • To determine the frequency of LUTS in children diagnosed with ARM-P.
  • To compare LUTS prevalence in children with ARM-P against a control group, analyzing gender-specific differences.
  • To assess the impact of concomitant urinary tract anomalies (UTA) on LUTS in the ARM-P cohort.

Main Methods:

  • Utilized the International Children's Continence Society 2014 definitions for LUTS.
  • Collected data from children aged 4-12 years undergoing surgery for ARM-P across two international pediatric surgery centers.
  • Compared LUTS, urinary tract infections, and medication use between the ARM-P patient group and a control cohort, stratified by gender and presence of UTA.

Main Results:

  • Children with ARM-P exhibited a higher incidence of LUTS compared to controls.
  • The frequency of urinary tract infections and daily urinary medication use was significantly greater in the ARM-P group.
  • Patients with co-occurring UTA reported more frequent urinary infections than those without UTA.

Conclusions:

  • Children with ARM-P demonstrate a higher burden of LUTS than their healthy counterparts.
  • The presence of concomitant UTA exacerbates LUTS in children with ARM-P.
  • Routine screening for both UTA and LUTS is recommended for children diagnosed with ARM-P.
Abstract

Keywords:
Anorectal malformations (ARM)Perineal fistula, urinary tract, lower urinary tract symptoms (LUTS)Urinary incontinence, urinary tract infection

More Related Videos

Transurethral Instillation Procedure in Adult Male Mouse04:01

Transurethral Instillation Procedure in Adult Male Mouse

Published on: November 2, 2017

17.5K
Vessel-sparing Excision and Primary Anastomosis08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

12.2K

Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.7K
Microbiota of the Urogenital Tract01:28

Microbiota of the Urogenital Tract

The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...
21
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
393
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
2.6K
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
648
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
417