Clinical and radiological postoperative evaluation of posterior sagittal anorectoplasty in patients with upper and intermediate anorectal malformations

ABSTRACT

The PSARP is today the most-used surgical technique for correction of high and intermediary anorectal malformations. There is much controversy in the literature about the post-operative evaluation of these cases. We studied 27 cases of anorectal malformations from clinical and radiological aspects, in order to analyse 1. Fecal continence 2. Relationship between post-operative fecal continence and the associated sacral anomalies 3. Relationship between the radiological evaluation by defecogram and fecal continence From the analysis of the cases, we concluded 1. Fecal continence was achieved in 48.14 percent of the cases; partial continence in 25.92 percent; and fecal incontinence in 25.92 percent of the cases. 2. The presence of fecal incontinence was directly related to the associated sacral anomalies.