Urological problems or fecal continence during long-term follow-up of patients with anorectal malformation

Şenel, Emrah; Akbiyik, Fatih; Atayurt, Halil; Tiryaki, Tuğrul

doi:10.1007/s00383-010-2626-1

Cited by 37 publications

(24 citation statements)

References 24 publications

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“…Previous studies showed an incidence ranging from 14 to 27% [9, 10, 15, 22]. In our population, vesico-ureteral reflux was mostly encountered performing a voiding cysto-urethrography (VCUG).…”

Section: Discussionmentioning

confidence: 78%

Urological anomalies in anorectal malformations in The Netherlands: effects of screening all patients on long-term outcome

et al. 2011

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IntroductionUrological anomalies are frequently seen in patients with anorectal malformations (ARM) and can result in upper urinary tract deterioration. Whether the current method of screening is valid, adequate and needed for all patients is not clear. We, therefore, evaluated the urological screening methods in our ARM patients for changes in urological treatment, outcome and follow-up.MethodsThe medical records of 331 children born with an ARM in the period 1983–2003 were retrospectively studied. Documentation of diagnosis, screening method, urological anomalies, treatment, complications, follow-up and outcome were measured.ResultsThe overall incidence of urological anomalies was 52%. The incidence of urological anomalies and urological follow-up time decreased with diminishing complexity of the ARM. Hydronephrosis, vesico-urethral reflux, lower urinary tract dysfunction and urinary incontinence were encountered most. Treatment invasiveness increased with the increase of complexity of an ARM. Lower urinary tract dysfunction needing urological care occurred in 43% in combination with lumbosacral or spinal cord anomalies and in 8% with no abnormalities in the lumbosacral-/spinal region.ConclusionsUrological anomalies in patients with complex ARM are more severe than in patients with less complex ARM. Ultrasonography of the urinary tract should be performed in all patients. Voiding cysto-urethrography can be reserved for patients with dilated upper urinary tracts, urinary tract infections or lumbosacral and spinal abnormalities. All patients with complex ARM need urodynamic investigations. When using these indications, the screening for urological anomalies in ARM patients can be optimized with long-term follow-up in selected patients.

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Section: Discussionmentioning

confidence: 78%

Urological anomalies in anorectal malformations in The Netherlands: effects of screening all patients on long-term outcome

et al. 2011

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“…The consequences of these anomalies can be more problematic than the anorectal malformation itself, leading in the most severe cases to urinary incontinence or deterioration of renal function. 1,2 Motor and sensory signs can develop later, and sphincter abnormalities may appear only once the child is out of diapers.…”

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confidence: 99%

Preoperative Assessment of Neurovesical Function in Children with Anorectal Malformation: Association with Vertebral and Spinal Malformations

et al. 2012

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“…15 We came across only one study from Turkey on the QoL in children with anorectal malformations. 16 HD is characterized by partial or total absence of ganglion cells in the nerve plexuses of the distal bowel, of varying levels. IA is a deformity of anorectum,with a varying severity from a relatively simple covered anus to the most complex defect of persistent cloaca.…”

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confidence: 99%

The Perception of the Quality of Life in Turkish Children Who Have Undergone Surgical Correction of a Congenital Gastrointestinal and Abdominal Anomaly

Çavuşoğlu¹,

Üneri²,

Yağız³

et al. 2012

Turkiye Klinikleri J Med Sci

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Urological problems or fecal continence during long-term follow-up of patients with anorectal malformation

Abstract: Urinary system anomalies in patients with ARM are at least as serious and complex as gastrointestinal system anomalies and create more problems than fecal incontinence during long-term follow-up.

Cited by 37 publications

References 24 publications

Urological anomalies in anorectal malformations in The Netherlands: effects of screening all patients on long-term outcome

Urological anomalies in anorectal malformations in The Netherlands: effects of screening all patients on long-term outcome

Preoperative Assessment of Neurovesical Function in Children with Anorectal Malformation: Association with Vertebral and Spinal Malformations

The Perception of the Quality of Life in Turkish Children Who Have Undergone Surgical Correction of a Congenital Gastrointestinal and Abdominal Anomaly

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