N. Kilic et al., COMPARISON OF URODYNAMIC INVESTIGATIONS BEFORE AND AFTER POSTERIOR SAGITTAL ANORECTOPLASTY FOR ANORECTAL-MALFORMATIONS, Journal of pediatric surgery, 32(12), 1997, pp. 1724-1727
Methods: The authors evaluated 21 patients (10 boys, 11 girls) who had
anorectal malformations (ARM). Ten of them had infralevator (low-grou
p I) and 11 of them had supralevator (high-group II) type ARM. All of
the patients underwent urodynamic investigation before and after poste
rior sagittal anorectoplasty (PSARP) operation, Results: Sacral and sp
inal anomalies were found in 54% (6 of 11) patients who had supralevat
or type ARM. None of the patients with infralevator type ARM had addit
ional sacral or spinal anomalies. Before PSARP operation urodynamic in
vestigations of all infralevator type ARM patients were within normal
limits, whereas 82% (9 of 11) of patients with supralevator type ARM s
howed neurovesical dysfunction (NVD), There was no significant differe
nce between the preoperative and postoperative urodynamic findings, Th
e possibility of additional sacral or spinal anomalies and NVD in supr
alevator type ARM was high, After PSARP operation no additional lower
urinary tract dysfunction was detected in the urodynamic evaluation of
ARM patients.