Manometric evaluation of continence after surgery for imperforate anus

Functional results after surgical correction of anorectal anomalies were assessed in 45 patients clinically and manometrically, in addition to 5 control children. The clinical assessment followed Kelly score. Continent patients had marked high pressure zones. Thus, anorectal pressure profile was found to correlate well with continence. Patients with high anomalies had lower pressure zones whatever the operation done if compared to patients with intermediate or low anomalies yet the results varied according to the operation done. Manometry was compared to defecography and was found to be more accurate