Conservative management of anterior located anus: A medium-long term follow up

Duci, Miriam; Leon, Francesco Fascetti; Bogana, G.; Gamba, Piergiorgio; Midrio, Paola

doi:10.1016/j.jpedsurg.2021.04.003

Cited by 5 publications

(14 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, based on the definition of AA given here, a considerable part of these cases would be nowadays termed as “non-stenotic PF”, as their anus is not completely surrounded by the sphincter. In fact, no significant association of AA with constipation has been observed in several recent reports [ 24 , 33 , 36 , 37 , 73 ]. On the other hand, some authors reported a prevalence of chronic constipation as high as 47% in female and 35% in male AA patients aged 3 months to 12 years [ 26 , 27 , 28 ].…”

Section: Resultsmentioning

confidence: 93%

“…Because of the greater proximity of the anus to the urethra, a higher rate of urinary tract infections (UTI) in females with AA or non-stenotic PF may be anticipated. Nevertheless, several studies found an equal incidence of lower UTIs compared to controls [ 73 , 75 ]. The gynecologic assessment in post-menarchal girls with AA demonstrated a mean vaginal length of 52 mm (SD: 0.24), comparable with normal reference values for age [ 78 ], normal perineal tropism, and normal perineal and vaginal flora [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

“…Nevertheless, several studies found an equal incidence of lower UTIs compared to controls [ 73 , 75 ]. The gynecologic assessment in post-menarchal girls with AA demonstrated a mean vaginal length of 52 mm (SD: 0.24), comparable with normal reference values for age [ 78 ], normal perineal tropism, and normal perineal and vaginal flora [ 73 ]. As the study by Duci and colleagues also included patients with non-stenotic PF in their so-called “AA”-population [ 73 ], these outcomes favor non-operative management of patients with AA or non-stenotic PF.…”

Section: Resultsmentioning

confidence: 99%

“…Heritability has been reported for patients with either a vestibular or perineal fistula [ 88 ]. Concerning patients with AA, Duci and colleagues reported familial occurrence in 5/50 patients of their “AA” population [ 73 ]. It has also been reported that risk factors for AA are female gender, high maternal age, and later birth order [ 74 ].…”

Section: Resultsmentioning

confidence: 99%

“…“AA” was also detected in patients with esophageal atresia, cardiac anomalies, Di-George Syndrome, and Down syndrome [ 73 ]. Moreover, a female patient with “AA” was reported to present a disorder of sex differentiation with an accessory phallus, an accessory phallic urethra, and a perineal lipoma [ 89 ].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Clinical Differentiation between a Normal Anus, Anterior Anus, Congenital Anal Stenosis, and Perineal Fistula: Definitions and Consequences—The ARM-Net Consortium Consensus

et al. 2022

Self Cite

View full text Add to dashboard Cite

In the past, an anteriorly located anus was often misdiagnosed and treated as an anorectal malformation (ARM) with a perineal fistula (PF). The paper aims to define the criteria for a normal anus, an anterior anus (AA) as an anatomic variant, and milder types of ARM such as congenital anal stenosis (CAS) and PF. An extensive literature search was performed by a working group of the ARM-Net Consortium concerning the subject “Normal Anus, AA, and mild ARM”. A consensus on definitions, clinical characteristics, diagnostic management, and treatment modalities was established, and a diagnostic algorithm was proposed. The algorithm enables pediatricians, midwives, gynecologists, and surgeons to make a timely correct diagnosis of any abnormally looking anus and initiate further management if needed. Thus, the routine physical inspection of a newborn should include the inspection of the anus and define its position, relation to the external sphincter, and caliber. A correct diagnosis and use of the presented terminology will avoid misclassifications and allow the initiation of correct management. This will provide a reliable comparison of different therapeutic management and outcomes of these patient cohorts in the future.

show abstract

Section: Resultsmentioning

confidence: 93%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Clinical Differentiation between a Normal Anus, Anterior Anus, Congenital Anal Stenosis, and Perineal Fistula: Definitions and Consequences—The ARM-Net Consortium Consensus

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

Outcomes of Management of Anterior Anus in Girls in Glasgow, UK

Hotonu,

Annett,

Campbell

et al. 2024

Journal of Pediatric Surgery

View full text Add to dashboard Cite

Comparison and impact of associated anomalies on the anal position index in neonates with anorectal malformation

et al. 2022

View full text Add to dashboard Cite

Objective Some prognostic factors have affected the functional outcomes of patients with anorectal malformations (ARM) after definitive surgery, including the associated anomalies. Moreover, the anal position index (API) study in neonates from developing countries is minimal. We aimed to (1) compare the API between neonates with ARM and controls; and (2) determine the impact of associated anomalies on the API in neonates with ARM. Results We ascertained 68 subjects: 35 neonates with ARM and 33 controls. The API of neonates with ARM was similar to controls, either male or female neonates (p = 0.51 and 0.90, respectively). Interestingly, the API in ARM males with associated anomalies (0.42 ± 0.07) was significantly lower than in control males (0.48 ± 0.02) (p = 0.005). Moreover, the API of ARM neonates with vertebral anomalies (0.35 ± 0.04) was lower than ARM neonates without vertebral anomalies (0.47 ± 0.07) (p = 0.021). In conclusion, associated anomalies and sex might affect the API in neonates with ARM. These findings should be considered and informed during counseling to the parents regarding the prognosis of functional outcomes in ARM neonates, particularly with associated anomalies.

show abstract

Conservative management of anterior located anus: A medium-long term follow up

Cited by 5 publications

References 20 publications

Clinical Differentiation between a Normal Anus, Anterior Anus, Congenital Anal Stenosis, and Perineal Fistula: Definitions and Consequences—The ARM-Net Consortium Consensus

Clinical Differentiation between a Normal Anus, Anterior Anus, Congenital Anal Stenosis, and Perineal Fistula: Definitions and Consequences—The ARM-Net Consortium Consensus

Outcomes of Management of Anterior Anus in Girls in Glasgow, UK

Comparison and impact of associated anomalies on the anal position index in neonates with anorectal malformation

Contact Info

Product

Resources

About