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Fecal Incontinence after Posterior Sagittal Anorectoplasty for Anorectal Malformation: A Single-Center Study

Manoochehr Ghorbanpoor1, Behzad Dehvan1, Siavash Rahimi2

  • 1Department of Surgery, Hamadan University of Medical Sciences, Hamadan, Iran.

Scientifica
|July 14, 2018
PubMed

Insights

Fecal incontinence is a common complication after posterior sagittal anorectoplasty for anorectal malformation. This study found acceptable fecal continence rates in most patients, particularly those with low-type malformations.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Colorectal Surgery

Background:

  • Fecal incontinence is a significant functional challenge following posterior sagittal anorectoplasty for anorectal malformation.
  • Assessing continence outcomes is crucial for evaluating surgical success in pediatric patients.

Purpose of the Study:

  • To determine the prevalence of fecal incontinence in patients with high or low anorectal malformation treated with posterior sagittal anorectoplasty.
  • To evaluate the functional outcomes of this surgical procedure regarding fecal continence.

Main Methods:

  • Retrospective study of children undergoing posterior sagittal anorectoplasty for anorectal malformation between 2012 and 2016.
  • Data collected via questionnaires administered to parents/guardians, utilizing the Templeton and Ditesheim Scoring System for continence assessment.

Main Results:

  • Thirty-four patients were analyzed, with a majority (67.6%) diagnosed with high-type anorectal malformation.
  • The mean fecal continence score was 4.57 ± 0.84 after a mean follow-up of 50.7 months.
  • While 91.3% of low-type patients achieved good continence versus 72.8% of high-type patients, this difference was not statistically significant (P=0.13).

Conclusions:

  • Posterior sagittal anorectoplasty can lead to acceptable fecal continence in patients with anorectal malformation.
  • Outcomes suggest a trend towards better continence in low-type ARM, though further research may be warranted.
Abstract

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