Saudi Journal of Kidney Diseases and Transplantation

ORIGINAL ARTICLE
Year
: 2007  |  Volume : 18  |  Issue : 2  |  Page : 186--190

The Effect of Rectourogenital Fistula in High Imperforate Anus


Ibrahim Daradka, Issa Hazza 
 Department of Pediatrics, King Hussein Medical Center, Amman, Jordan

Correspondence Address:
Ibrahim Daradka
Department of Pediatrics, King Hussein Medical Center P.O. Box 540997, Amman11937
Jordan

To determine the incidence of rectourogenital fistulae and the possible role of fistulae on the mechanism of defecation in patients with high imperforate anus, we retrospectively studied 42 children, 38 males and four females, all with high imperforate anus presenting in the period from 1982 to1995. All children underwent radiological evaluation, to determine the level of the rectal pouch 18-24 hours after birth and to study the bony spine. A preliminary colostomy was performed in all patients after the diagnosis shortly after birth. Ultrasonography was performed in all the cases to assess the kidneys and ureters. All patients but one was operated on via a posterior sagittal anorectoplasty. Bowel control was assessed clinically regarding the presence of voluntary bowel movement, fecal soiling, incontinence and constipation. Eighteen (42.8%) patients were found to have recto­urogenital fistulae; 15 rectourethral, two rectovaginal and one rectovesical. Outcomes were known for 36 out of 42 patients; 15(41.6 %) had voluntary bowel movements, nine (25 %) had soiling, six (16.6%) had constipation and six (16.6 %) had incontinence. In conclusion, the presence of rectourogenital fistula in patients with high imperforate anus is another new prognostic factor for anorectal function which needs further clarification.


How to cite this article:
Daradka I, Hazza I. The Effect of Rectourogenital Fistula in High Imperforate Anus.Saudi J Kidney Dis Transpl 2007;18:186-190


How to cite this URL:
Daradka I, Hazza I. The Effect of Rectourogenital Fistula in High Imperforate Anus. Saudi J Kidney Dis Transpl [serial online] 2007 [cited 2022 May 24 ];18:186-190
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2007;volume=18;issue=2;spage=186;epage=190;aulast=Daradka;type=0