Management of male H-type anorectal malformations

Banu, Tahmina; Hoque, Mozammel; Laila, Kamrun; Ashraf-Ul-Huq,; Hanif, Abdul

doi:10.1007/s00383-009-2433-8

Cited by 13 publications

(4 citation statements)

References 11 publications

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“…This patient had a normal anal opening with a cutaneous tract extending from the anterior midline up the scrotal raphe without any fistulous connection to the urethra on examination. These findings suggest that this presentation was not consistent with the rare H‐type fistula previously described and more common in Asian populations 6 . Additionally, given the patient's prior normal voiding cystourethrogram and no history of prior urinary tract infections, cystography was deemed not clinically necessary.…”

Section: Discussionmentioning

confidence: 72%

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A novel anorectal malformation variant: Anocutaneous fistula presenting as median raphe abscesses

Lazow

Demehri

Buchmiller

2020

J Paediatrics Child Health

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Anorectal malformations (ARMs) are among the most common congenital intestinal anomalies, affecting 2-6/10 000 newborns. 1 ARMs typically present in the early neonatal period, though prenatal diagnosis is improving. 2 There is a spectrum of ARM disease manifestation classified based upon the varying position of the rectal pouch and associated fistula. 3,4 In this report, we present the rare case of a delayed diagnosis of a superficial anocutaneous fistula presenting as scrotal median raphe abscesses.

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Section: Discussionmentioning

confidence: 72%

“…These findings suggest that this presentation was not consistent with the rare H-type fistula previously described and more common in Asian populations. 6 Additionally, given the patient's prior normal voiding cystourethrogram and no history of prior urinary tract infections, cystography was deemed not clinically necessary.…”

Section: Discussionmentioning

confidence: 99%

A novel anorectal malformation variant: Anocutaneous fistula presenting as median raphe abscesses

Lazow

Demehri

Buchmiller

2020

J Paediatrics Child Health

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“…To the best of our knowledge, this is the third case of rectourethral fistula with rectoscrotal fistula since Banu et al . reported the first two cases …”

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confidence: 99%

“…To the best of our knowledge, this is the third case of rectourethral fistula with rectoscrotal fistula since Banu et al reported the first two cases. 1 A 1-day-old boy was admitted with anus defect. Rectoscrotal fistula was found on admission.…”

mentioning

confidence: 99%

Management for H‐type anorectal malformation with rectourethral and rectoscrotal fistula

Hoshi

Uehara

Ono

et al. 2019

Pediatrics International

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Diversities of H-type anorectal malformation: a systematic review on a rare variant of the Krickenbeck classification

Sharma

Gupta

2016

Pediatr Surg Int

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Congenital H-type fistula is a rare congenital rectourogenital connection with an external anal opening in a normal or ectopic position. A systematic review was done to study the anatomical types of congenital H-type fistula, embryology, clinical presentation, relative gender distribution, associated anomalies, investigative modalities, and recent advances in treatment of these lesions. A PubMed search included H-type anorectal malformation; H-type anorectal malformations; H-type anorectal; and H-type congenital anorectal that gave 9;43;76;26 abstracts, respectively. Relevant studies and cited articles were studied omitting duplicate search. The reported incidence is 0.1-16 % of all anorectal malformation. The H-type anorectal malformation is 2.5-6 times more common in females and usually associated with a normal anus. In males, the anomaly is usually a variant with an ectopic anus or a perineal fistula. Anatomical types include anovestibular; rectovestibular; rectovaginal fistula in females and rectourethral (bulbar, prostatic, bladder neck) and rectovesical fistula in males. Variants identified include H-type fistula with perineal fistula, perineal groove, H-type sinus, H-type canal, and acquired H-type fistula. This review compiles the available literature over last six decades. Various surgical corrective procedures have been described. The high recurrence decreases with a learning curve and experience.

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Management of male H-type anorectal malformations

Abstract: Thorough clinical examination may identify the anatomical variations of male H-type ARM, and for the treatment of which primary ASAP or ASARP gives good results.

Cited by 13 publications

References 11 publications

A novel anorectal malformation variant: Anocutaneous fistula presenting as median raphe abscesses

A novel anorectal malformation variant: Anocutaneous fistula presenting as median raphe abscesses

Management for H‐type anorectal malformation with rectourethral and rectoscrotal fistula

Diversities of H-type anorectal malformation: a systematic review on a rare variant of the Krickenbeck classification

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