1. Posterior sagittal anorectoplasty results in better bowel function and quality of life in adulthood than pull-through procedures.
- Author
-
Danielson J, Karlbom U, Graf W, Olsen L, and Wester T
- Subjects
- Adolescent, Adult, Anal Canal physiopathology, Anal Canal surgery, Anorectal Malformations, Anus, Imperforate physiopathology, Female, Humans, Male, Rectum physiopathology, Rectum surgery, Surveys and Questionnaires, Sweden, Young Adult, Anal Canal abnormalities, Anus, Imperforate surgery, Defecation physiology, Digestive System Surgical Procedures methods, Quality of Life, Plastic Surgery Procedures methods, Rectum abnormalities
- Abstract
Background/purpose: The short-term outcome of posterior sagittal anorectoplasty (PSARP) procedure has been reported to be better than after abdominoperineal or abdominosacroperineal (AP) procedures. This study aimed to investigate the long-term functional outcome and quality of life after PSARP in adulthood and compare with the outcome after AP procedures., Methods: Twenty-four patients operated with PSARP at the Department of Pediatric Surgery, Uppsala, Sweden, from 1984 to 1993 were identified. They were compared with 20 patients that underwent AP pull-through procedures from 1974 to 1983. The patients were sent validated bowel function and quality of life (SF-36) questionnaires. Sixteen PSARP (median age 21, five females) patients and fourteen AP patients (seven abdominosacroperineal and seven abdominoperineal pull-throughs, median age 32, seven females) responded and were included in the study., Results: The median Miller incontinence score was 1 (range 0-13) in the PSARP group and 10 (range 3-16) in the pull-through group (P=0.0042). The use of underwear protection and oral loperamide was significantly less frequent in the PSARP group (P=0.0096 and 0.0021 respectively). The SF-36 scores of Vitality, Mental health and Mental Cluster Scale were higher in the PSARP group (P=0.0291, 0.0500, 0.0421 respectively)., Conclusions: PSARP results in superior bowel function and better quality of life in adulthood compared with AP procedures for the repair of anorectal malformations., (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF