[Risk factors of postoperative voiding dysfunction in children with congenital anorectal malformation]

Area of Science:

• Pediatric Surgery
• Urology
• Developmental Biology

Background:

• Anorectal malformation (ARM) is a congenital condition requiring surgical intervention.
• Postoperative voiding dysfunction (VD) is a significant complication following ARM surgery in children.
• Identifying risk factors for VD is crucial for improving patient outcomes.

Purpose of the Study:

• To analyze clinical data of children who underwent ARM surgery.
• To identify factors associated with postoperative voiding dysfunction (VD).
• To provide recommendations for managing VD after ARM surgery.

Main Methods:

• Retrospective analysis of clinical data from 60 children (aged 4-15) who underwent ARM surgery between 2006 and 2021.
• Evaluation of postoperative voiding function during follow-up.
• Statistical analysis to determine risk factors for VD.

Main Results:

• Out of 60 children, 17 (28.3%) developed postoperative voiding dysfunction (VD).
• Significant risk factors for VD included middle to high clinical classification (OR=6.732), multiple surgeries (OR=3.712), associated spinal deformity (OR=3.297), and abnormal postoperative defecation (OR=4.971).
• Normal voiding function was observed in 43 cases.

Conclusions:

• Middle to high clinical classification, multiple surgeries, spinal deformity, and abnormal postoperative defecation are significant risk factors for VD in children after ARM surgery.
• Urodynamic studies are recommended for children experiencing VD post-ARM surgery.
• Early intervention strategies should be implemented for children with VD following ARM repair.