Adolescents with anorectal malformation: physical outcome, sexual health and quality of life

Stenström, Pernilla; Kockum, Christina Clementson; Benér, Despina Katsianikou; Ivarsson, Camilla; Arnbjörnsson, Einar

doi:10.1515/ijamh-2012-0111

Cited by 42 publications

(38 citation statements)

References 15 publications

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“…The prevalence of severe incontinence did not differ between young and old age groups, both for women and men with ARM. 14 The frequency of constipation was significantly higher in women (62%) than men (35%). There was no difference in frequency between children with perineal fistula and other ARM subtype groups, both in women and men.…”

Section: Discussionmentioning

confidence: 92%

The analysis of continence after posterosagital anorectoplasty in anorectal malformation patients in Wahidin Sudirohusodo hospital of Makassar

Lawile¹,

Mantu²,

Mariana³

et al. 2019

Int J Res Med Sci

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Background: The management of anorectal malformations universally uses posterior sagittal anorectoplasty (PSARP) as standard surgery. The aim of this research was to determine continence in patients with anorectal malformation after PSARP action.Methods: This study was a descriptive analytical categorical research with cross sectional design. The data were obtained from patients’ medical records and questionnaire given to patients underwent PSARP in Wahidin Sudirohusodo Hospital and network hospitals from June 1 to December 1, 2018. The analysis was done to 60 children ranging from 5 to 8 years old. Most of them were male (56.7%) ranging from 5 to 6 years old (53.3%).Results: The results of the research indicated that based on malformation subtype, most of them suffered from rectourethra fistula (40.0%) with continence problem (61.7%). There was no significant correlation between sex and continence problem (p >0.05). However, it was seen that the percentage of continence subjects was higher in female (65.4%) than in male (58.8%), while the percentage of soiling and constipated subjects was higher in male than in female. Rectourethra fistula was found more frequently in male than in female (70.6%), while vestibuler fistula was found more frequently in female (69.2%). There was no significant correlation between age and defecation problem (p >0.05). However, the percentage of continence and soiling subjects was higher in 5-6 years children then the one for 7-8 year children, while the percentage of constipated subjects was higher in 7-8 year children (21.4%) than 5-8 year children (18.8%).Conclusions: Gender differences in the outcome of children with anorectal malformations must be considered. Men with perineal fistula were likely to experience continence and constipation than women with perineal fistulas. Women with perineal fistulas and vestibular fistulas had almost similar outcome.

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Section: Discussionmentioning

confidence: 92%

The analysis of continence after posterosagital anorectoplasty in anorectal malformation patients in Wahidin Sudirohusodo hospital of Makassar

Lawile¹,

Mantu²,

Mariana³

et al. 2019

Int J Res Med Sci

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“…No previous studies have reported on gas‐related problems in healthy children, but due to its importance for quality of life, the issue has been included in the regular follow‐up in the International Registry of children with anorectal malformations. Male adolescents with anorectal malformations have reported that they experienced gas‐related problems which influenced their quality of life . We therefore advocate that gas‐related issues should also be included in future studies regarding bowel function, as they probably play an important role in the daily life of children and adolescents and might be connected to constipation and the need for treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Children born with congenital pelvic floor malformations are reported to have vulnerable bowel function (10)(11)(12)(13)(14). To determine adequate goals for their bowel management and treatment, it is important to compare their bowel function to that of healthy children.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of bowel function in healthy children: untreated constipation is common

et al. 2018

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“…Fecal incontinence is reported in almost 30-50 % of the adolescent patients after surgery [6]. The long term outcome relates with ARM sub types, age at presentation and associated anomalies [7].…”

Section: Discussionmentioning

confidence: 99%

Female ARM Left to Loiter: Attempt for Delayed Primary PSARP with Meticulous Outcome

2017

IJSR

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Delayed presentation of anorectal malformation (ARM) at adolescence is rare but poses a challenge to the surgeon in terms of poor long term outcome. To lessen the stress further, early diagnosis and definitive surgery, thereafter, becomes necessary. We present a case of female anovestibular fistula seeking advice at 13 years of age and treated with primary posterior sagittal anorectoplasty (PSARP).

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Adolescents with anorectal malformation: physical outcome, sexual health and quality of life

Abstract: Adolescents with ARM have considerable intestinal symptoms, which influence QoL and require adaption in intimate situations. A referral to adult care seems to be important, and continuous cooperation between the pediatric surgeon and adult care is suggested.

Cited by 42 publications

References 15 publications

The analysis of continence after posterosagital anorectoplasty in anorectal malformation patients in Wahidin Sudirohusodo hospital of Makassar

The analysis of continence after posterosagital anorectoplasty in anorectal malformation patients in Wahidin Sudirohusodo hospital of Makassar

Evaluation of bowel function in healthy children: untreated constipation is common

Female ARM Left to Loiter: Attempt for Delayed Primary PSARP with Meticulous Outcome

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