Although the number of cases with imperforate anus treated in our hospital was relatively small, the outcome of management was favorable and matching with reports from specialized centers. Long-term functional follow data are also available today indicating a reasonable favourable faecal and urinary control in the majority of patients with anorectal malformations. Penile vibrostimulation to induce ejaculation was not tried because the patient had a normal orgasmic sensation and electroejaculation would not have been practicable because of the anal sub-stenosis. To whom correspondence should be addressed at U. The relief from pain and the availability of sperm for a large number of ICSI cycles suggest that such an approach should be considered when untreatable orchialgia and aspermia coexist in infertile men who have undergone the surgical correction of imperforate anus. Purchase access Subscribe now. Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent.
Postoperative Megarectum in an Adult Patient with Imperforate Anus and Rectourethral Fistula
Ultrasound of the distal pouch in infants with imperforate anus
Of absolute importance is imaging to detect associated malformations as some of these defects may be life threatening or have a greater impact on survival of the patients than the anorectal malformation. The treatment of high and intermediate anorectal malformations: Long-term follow-up results are lacking but warranted. Posterior sagittal anorectoplasty is superior to sacroperineal-sacroabdominoperineal pull-through: J Obst Gynaecol ; For type I digital dilation is usually sufficient except in cases of hard fibrotic rings when anoplasty may be required.
However, gynecologic exam demonstrates a shortened vagina without a bulging hymen. Care and preventive measures that can be implemented in low-resource settings to reduce the impact of birth defects are also discussed. Journal of Advanced Nursing, 34 5 , - A mucous fistula of the upper rectum was created in the right lower abdomen. Ethical issues This study was approved by the research ethical committee of King Abdulaziz University Hospital, Jeddah. The surgical procedure was completed with a radical orchiectomy.
A year-old Japanese male presented with an increasing lower abdominal mass and frequent urination. Stresses and coping strategies of mothers living with a child with cystic fibrosis: Table of Contents Alerts. Google Scholar , Crossref. Scrotal US revealed tubular ectasia of the left rete testis Figure 1 and an enlarged left epididymis. View large Download slide.