the standard approach to management of high imperforate anus is colostomy in the newborn period followed by posterior saggital anorectoplasty (psarp) at 6 to 12 months of age. the purpose of this study was to determine whether a one-stage repair by primary psarp in the newborn period could be performed without clear determent to the patient’s functional result. totally 30 newborns with high imp...

What are the problems that we can anticipate for these girls in later life during adulthood? 1. The vagina does not have pelvic muscles for support in the lower one-third. 2. These females will not be able to exert a squeezing effect on the penis during coitus. 3. The physiology of orgasm will be disturbed and the propagation of sperms toward the cervix will be altered. 4. These patients will b...

Context: The ultimate goal of reconstruction in anorectal malformations (ARM) in children, is to create a functional and anatomically

BACKGROUND/PURPOSE This prospective study was designed to assess the safety, cost effectiveness, and advantages of performing posterior sagittal anorectoplasty without colostomy on girls with imperforate anus and rectovestibular fistula. METHODS Four girls with imperforate anus and rectovestibular fistula were entered into the study. Chest x-ray, renal ultrasound scan, and lateral fistulogram...

Anorectal malformations (ARMs) affect about 1 in 5 000 liveborn infants. For those with high or intermediate defects (supra-levator or levator-level defects), colostomy in the newborn period is life-saving. However, long-term quality of life after construction of a neo-anus and colostomy closure is still unsatisfactory. In many cases, this can be attributed to complexity of the lesion, a high r...

The authors report a case of Currarino syndrome with anterior sacral meningocele, tethered cord, and anorectal stenosis that was treated by posterior sagittal approach. Initially, a diverting colostomy was performed. Two months later, excision of the meningocele, untethering of spinal cord, and anorectoplasty were performed simultaneously without complication. Posterior sagittal approach seems ...

Background DaVinci presentation is a physician friendly picture of scoliotic spine seen from the cephalad side in the horizontal plane. This presentation is complementary to the standard view of the spine in two planes: frontal (anterior-posterior) and sagittal (lateral). DaVinci presentation can be obtained by using a few techniques which allow for three-dimensional reconstructions: CT, MRI, E...

Transperineal exposure of the high portion of the vagina is limited. These limitations can be circumvented using ASTRA (anterior sagittal transrectal approach). We report the use of this surgical strategy for the treatment of a case of acquired vaginal atresia after posterior anorectoplasty due to anorectal malformation.