Anorectal Malformations

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[size=20px]A one-year old boy was born with an imperforate anus and a prostatic rectourethral fistula. He underwent a posterior sagittal anorectoplasty at five months of age with closure of his colostomy two months later. He has had three months of anal dilations. The parents are interested in knowing what they might be able to expect about his future anorectal function with regard to continence, constipation and the possibilities for interventions for improvement if needed. In children with anorectal malformations which of the following would imply potentially good future anorectal function? A short anal canal length B low resting anal pressure C low rectal v…

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[size=20px]A former 38-week gestational age infant girl with a cloacal malformation underwent a divided sigmoid colostomy in the newborn period. Now eight months of age she presents for possible future surgical intervention. A previous cystoscopy and vaginoscopy showed a common channel with a length of one centimeter. The next operation for this patient with cloaca is A no further operation should be recommended. B closure of sigmoid colostomy alone. C laparoscopic urogenital mobilization. D perineal total urogenital mobilization and anorectovaginourethroplasty. E abdominoperineal mobilization of the vaginal, urinary and anal opening.[/size]

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