Long-term Results of Imperforate Anus Treated by Posterior Sagittal Anorectoplasty
Journal of the Korean Surgical Society
;
: 514-518, 2000.
Article
in Korean
| WPRIM
| ID: wpr-69121
ABSTRACT
PURPOSE:
deVries and Pena in 1982, reported posterior sagittal anorectoplasty (PSARP) as an operative procedure for a high or intermediate imperforate anus (IA). PSARP has gained overall acceptance as a standard operative method for the repair of high and intermediate anorectal malformations. However, reports concerning the long-term outcomes of patients who have undergone a PSARP are still quite few.METHOD:
To evaluate the quality of life for IA patients after a PSARP, 26 out of 43 patients who had undergone a PSARP were evaluated by using a questionnaire more than 10 years after closure of colos tomy. The questionnaire was composed of 5 categories; defecation patterns, defecation aids, social life, satisfaction, and problems after the PSARP.RESULTS:
There were 23 males and 3 females. Ages were 13-26 years old. There were 17 rectourethral fistulae, 3 rectovesical fistulae, one rectal atresia, one rectovestibular fistula, and 2 rectovaginal fistulae. Follow-up periods were 12-16 years. For defecation patterns, normal defecation was observed in 62% of the patients, accidental soiling in 23%, and continuous soiling in 15%. For defecation aids, 54% of the patients used no defecation aids, 38% used enemas, and 8% used laxatives. In social life, 69% of the patients had no problems, 23% missed school, and 8% missed camp or a trip. As to the patients' own satisfaction, 81% wanted no reoperation and 19% wanted a reoperation. Problems after PSARP were reoperations for an anal transposition in 4 patients and a urethral stricture in one.CONCLUSION:
PSARP resulted in good bowel control and satisfaction in the majority of IA patients, but some patients needed supportive measures and wanted a reoperation, if possible.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anus, Imperforate
/
Quality of Life
/
Reoperation
/
Soil
/
Surgical Procedures, Operative
/
Urethral Stricture
/
Surveys and Questionnaires
/
Follow-Up Studies
/
Rectovaginal Fistula
/
Defecation
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
2000
Type:
Article
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