Clinical and urodynamic outcomes in children with anorectal malformation subtype of recto-bladder neck fistula

Strine, Andrew C.; VanderBrink, Brian A.; Alam, Zaheer; Schulte, Marion; Noh, Paul H.; DeFoor, William; Minevich, Eugene; Sheldon, Curtis A.; Frischer, Jason S.; Reddy, Pramod

doi:10.1016/j.jpurol.2017.06.008

Cited by 11 publications

(6 citation statements)

References 24 publications

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“…In general, most reports conclude that the more severe the malformation, the more likely to experience incontinence or require CIC and surgical intervention to achieve continence. 31 – 33 One study reported no difference in continence rates between rectoperineal fistulas and controls. 31 Comparatively, the rate of continence with rectobladder neck fistulas was only 15% without CIC and 43% if CIC is considered achieving social continence.…”

Section: Bladder Management and Continencementioning

confidence: 99%

“… 31 Comparatively, the rate of continence with rectobladder neck fistulas was only 15% without CIC and 43% if CIC is considered achieving social continence. 32 …”

Section: Bladder Management and Continencementioning

confidence: 99%

“…31 Comparatively, the rate of continence with rectobladder neck fistulas was only 15% without CIC and 43% if CIC is considered achieving social continence. 32 For patients with common cloacas, the literature suggests that 20% of patients with short channels (less than 3 cm) and 80% of patients with long channels (greater than 3 cm) will need to perform CIC. 19 Warne et al 33 reported that 80% of patients in their cohort achieved social continence, but only 22% of these girls voided spontaneously.…”

Section: Bladder Management and Continencementioning

confidence: 99%

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Management of the urological tract in children with anorectal malformations – a contemporary review

Harris

Wilcox

2023

Therapeutic Advances in Urology

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Anorectal malformations (ARMs) consist of a broad spectrum of congenital anomalies that are associated with an equally wide variety of urological abnormalities, often with increasing incidence as the severity of the ARM increases. The importance of urologic involvement in the care of ARM patients has been noted for decades and is critical from birth to adulthood. Urology must be involved in the initial evaluation and operative care of the child as well as in monitoring and managing issues such as neurogenic bladder, renal disease, and eventually sexual function and fertility. Care of the ARM patient must be done through a multidisciplinary lens, with the urologist as a key player. This review will serve as an update on the management of the urologic tract in children with ARM.

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Section: Bladder Management and Continencementioning

confidence: 99%

“… 31 Comparatively, the rate of continence with rectobladder neck fistulas was only 15% without CIC and 43% if CIC is considered achieving social continence. 32 …”

Section: Bladder Management and Continencementioning

confidence: 99%

Section: Bladder Management and Continencementioning

confidence: 99%

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Management of the urological tract in children with anorectal malformations – a contemporary review

Harris

Wilcox

2023

Therapeutic Advances in Urology

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“…Strine et al in their series of 67 patients concluded that patients with rectobladder neck fistulas were rarely able to achieve continence with spontaneous voiding alone. 10 Giuliani et al followed 321 patients of ARM and found that cloacal malformation in females and recto bladder neck fistulae in males are at highest risk of developing renal insufficiency. 1 Kyrklund K concluded that prevalence of LUTS and age at completion of toilet training was comparable to controls in patients with low anorectal malformations.…”

Section: Lutd and Level Of Fistulamentioning

confidence: 99%

Lower urinary tract dysfunction in cases of anorectal malformations

Saxena

2023

IJMPO

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Association of genitourinary anomalies in patients with ano-rectal malformations (ARM) is well known and its incidence is reported to be 30 -50%. Many of these anomalies either have less number of functioning renal units or have conditions with risk of continuous damage to renal units, increasing the risk of developing End stage renal disease (ESRD) in adolescence or adulthood. Although frequently described as associated malformations but few of these entities like Vesico ureteric reflux (VUR) could be the result of lower urinary tract dysfunctions.: To study incidence and spectrum of Lower urinary tract dysfunction in toilet trained patients of ARM. To find whether LUTD is the cause of worsening of VUR/HUN/ renal functions in patients with ARM. 2 years (October 2018 to 30 September 2020): Department of Paediatric surgery, Chacha Nehru Bal Chikitsalaya, Geeta Colony Delhi Prospective observational study. : Forty-two patients of ARM, meeting all inclusion criteria were enrolled in the study. All the following criteria were checked for enrolment of patient in the study. 1. Patients of all categories of anorectal malformations who were toilet trained; 2. Age more than 4 years; 3. Completed set of investigations planned for diagnosis of LUTD. 4. Consented to participate in the study and for follow up as and when required.Central cause of neurological deficits.A total of 125 patients who underwent PSARP during our study period. However only 42 patients met the inclusion criteria and got their work up completed for urological problems. 1.LUTD and renal failure can be seen even in absence of spinal malformations in patients with ARM; 2. Severity of LUTD in absence of neurological involvement changes with time; 3. Thorough history and clinical evaluation may provide important clues in suspecting presence of occult LUTD.

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“…Awareness of the potentially associated urogenital anomalies has increased over time, but discussion remains about the optimal diagnostic screening strategy and timing (e.g., in the first period of life) [ 6 ]. Comprehensive screening for additional urogenital anomalies might lead to early identification of these anomalies and subsequently improve (functional) outcomes [ 8 , 13 ]. In addition, in some cases early identification of unexpected urogenital anomalies (e.g., vaginal atresia, urogenital sinus) may influence the reconstructive surgical strategy (e.g., approach and timing of the surgery) [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Potential benefits of routine cystoscopy and vaginoscopy prior to reconstructive surgery in patients with an anorectal malformation

de Beaufort,

Boom,

Mackay

et al. 2023

Pediatr Surg Int

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Purpose First, to assess the number of patients with anorectal malformations (ARM) in whom additional urological and/or gynecological anomalies were identified through routine screening with cysto- or vaginoscopy prior to reconstructive surgery. Second, to assess potential procedure-related complications. Methods Retrospective mono-center cohort study, including all ARM patients born between January 2019 and December 2022. Routine screening consisted of cystoscopy for male patients, with the addition of vaginoscopy for female patients. Chi-square was used to compare the screening percentages over time. Results In total, 38 patients were included, of whom 27 (71.1%) underwent cystoscopy ± vaginoscopy, without the occurrence of complications. Nine of 13 females (69.2%) underwent cysto- and vaginoscopy and 18 of 25 males (72.0%) underwent a cystoscopy. The percentage of patients that underwent these procedures improved over the 2 time periods (50.0% in 2019–2020 vs 90.0% in 2021–2022, p = 0.011). In 15 of 27 patients (55.6%) that underwent cystoscopy ± vaginoscopy, additional anomalies were found that were not identified through physical examination or US-kidney. Conclusions In 56% of the patients that underwent cysto- ± vaginoscopy, additional anomalies were identified that were not with imaging studies or physical examination. This study emphasizes the potential benefit of routine cysto- and vaginoscopy in the diagnostic work-up of children with ARM. Level of Evidence: III.

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Clinical and urodynamic outcomes in children with anorectal malformation subtype of recto-bladder neck fistula

Cited by 11 publications

References 24 publications

Management of the urological tract in children with anorectal malformations – a contemporary review

Management of the urological tract in children with anorectal malformations – a contemporary review

Lower urinary tract dysfunction in cases of anorectal malformations

Potential benefits of routine cystoscopy and vaginoscopy prior to reconstructive surgery in patients with an anorectal malformation

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