Anal atresia long term issues
OBJECTIVE: This study investigated the current state of fecal and urinary continence in an extensive group of adults after operative correction for high anorectal malformations and how they cope with their incontinence. Until now, however, few long-term follow-up studies in small groups of adults have been performed to assess continence after operative repair for high anorectal malformation. Current control of defecation was reached from a median age of Most patients with anal defecation reached good and fair control of defecation, however. National Center for Biotechnology Information , U. Journal List Ann Surg v.
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Study record managers: refer to the Data Element Definitions if submitting registration or results information. Background Anorectal malformations ARM are rare and cover congenital defective development of rectum. ARM include a range of congenital conditions and may in varying degrees involve the anorectum. A significant part have malformations in other organs mainly the urinary tract. In the vast majority ARM are recognized at birth by lack of a normal anus. The primary approach is construction of a stoma and subsequent reconstruction.
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This is an "umbrella term" for a group of birth defects which affect the anorectal area. During a normal bowel movement, solid waste passes from the colon large intestine to the rectum the final section the colon and through the anus. When a child has an ARM, the rectum and the anus do not develop properly. Some of these problems are very minor and easy to treat, with great long-term prognosis. Others are complex and affect multiple areas of life, such as sexual function and urinary and bowel control.
Fecal Incontinence - Causes, Management and Outcome. Anorectal malformations ARM are a spectrum of congenital caudal end defects affecting the normal development of the anus and rectum that are usually easily detected after birth by physical examination. They are relatively common, occurring in approximately 1 in 5, live births, and vary markedly in severity. ARM is frequently associated with other congenital anomalies that may have a much more severe impact on long-term prognosis [ 1 ]. ARM are classified into low, intermediate and high subtypes depending on the relationship of the defect to the pelvic floor musculature [ 2 ].