Patient-reported urinary outcomes in adult males with congenital colorectal conditions

Reppucci, Marina L.; Wehrli, Lea A.; Wilcox, Duncan T.; Ketzer, Jill; Peña, Alberto; Torre, Luís de la; Bischoff, Andréa; Wood, Dan

doi:10.1007/s00383-022-05215-x

Cited by 7 publications

(2 citation statements)

References 26 publications

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“…The diagnosis of an anorectal malformation (ARM) is associated with urogenital anomalies with a reported prevalence ranging from 18.4 -85% [1][2][3][4], with a higher reported prevalence depending on type and severity of the ARM. In patients with Hirschsprung disease the reported incidence ranges from 5.1 -25% [5][6][7][8] Urinary and renal outcomes of adult ARM and HD patients are currently sparse with recent publications emphasizing the importance of transitional care with particular interest in urogenital health [1,9,10]. In addition, standardization of screening methods in ARM as well as HD for urinary tract anomalies and dysfunction has been suggested by several authors [1,2,[5][6][7]11].…”

Section: Introductionmentioning

confidence: 99%

Urological Outcomes in Adult Females Born with Anorectal Malformation or Hirschsprung Disease

Wehrli,

Harris,

Wood

et al. 2024

Preprint

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Introduction Women born with anorectal malformation (ARM) or Hirschsprung disease (HD) may have impaired urologic function resulting in sequelae in adulthood. This study assessed and compared self-reported urinary outcomes in adult females born with ARM or HD to a reference population. Methods This was an IRB approved, cross-sectional study of female born patients with ARM or HD, who completed surveys between November 2021 and August 2022. Female patients between the ages of 18 and 80 years were included. Lower Urinary Tract Symptom questionnaires were administered through REDCap and the responses were compared to a reference population using chi-squared or Fisher’s exact tests. Results Sixty-six born female patients answered the questionnaires, two of them identified as non-binary. The response rate was 76%. Median age was 31.6 years. The majority were born with cloaca (56.3%), followed by other type of ARMs (28.1%), Complex Malformation (9.4%), and HD (6.3%). A history of bladder reconstruction was present for 26.6%. Catheterization through a channel or native urethra was present in 18.8%. Two had ureterostomies and were excluded from the analysis. Seven had chronic kidney disease or end stage renal disease, three with a history of kidney transplantation. Patients with cloaca had significantly higher rates of urinary incontinence, urinary tract infection, and social problems due to impaired urological functioning, when compared to an age-matched reference population (Table 3). Conclusion This study emphasizes the need for a multi-disciplinary team that includes urology and nephrology following patients with ARM long-term, especially within the subgroup of cloaca.

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Section: Introductionmentioning

confidence: 99%

Urological Outcomes in Adult Females Born with Anorectal Malformation or Hirschsprung Disease

Wehrli,

Harris,

Wood

et al. 2024

Preprint

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“…Congenital urinary anomalies, neurogenic bladder, and recurrent urinary tract infections may result in end-stage renal disease and the need for renal replacement if not managed well. 26 , 27 Despite previous abdominal surgeries in these patients, the first choice should be peritoneal dialysis. 28 When peritoneal dialysis fails, hemodialysis is preferred.…”

Section: Introductionmentioning

confidence: 99%

Anorectal Malformations and Late-Term Problems

Hakalmaz

Tekant

2023

Turk Arch Pediatrics

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Anorectal malformation is a disease with different subtypes and anatomical and functional multisystemic involvement that requires a unique approach in each age group. Anomalies associated with vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities (VACTERL) association require detailed investigation and management. Beginning from the neonatal period, treatment is carried out with different surgical procedures. The clinical course of these patients may be associated with medical problems, accompanying congenital anomalies, perioperative management, or late sequelae. Constipation and fecal–urinary incontinence are the most common problems encountered in long-term follow-up. Renal failure is the most important cause of long-term mortality. In addition, these patients need to be under control until adulthood due to cardiological, spinal, genital, gynecological, and endocrine problems. In this follow-up, many pediatric disciplines such as neonatal intensive care, cardiology, nephrology, gastroenterology, and endocrinology cooperate with pediatric surgeons and pediatric urologists.

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Urological outcomes in adult females born with anorectal malformation or Hirschsprung disease

Wehrli,

Harris,

Wood

et al. 2024

Pediatr Surg Int

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Patient-reported urinary outcomes in adult males with congenital colorectal conditions

Cited by 7 publications

References 26 publications

Urological Outcomes in Adult Females Born with Anorectal Malformation or Hirschsprung Disease

Urological Outcomes in Adult Females Born with Anorectal Malformation or Hirschsprung Disease

Anorectal Malformations and Late-Term Problems

Urological outcomes in adult females born with anorectal malformation or Hirschsprung disease

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