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General complications after surgery for anorectal malformations

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Abstract

The introduction of posterior sagittal anorectoplasty (PSARP) by deVries and Peña in the early 80s has impacted to the treatment of patients with anorectal malformations (ARM). It gained great recognition worldwide in a very short time, and since then, surgeons dealing with the treatment of this complex malformation could achieve tremendous progress in contemporary management of this anomaly. Despite the growing experience and body of information globally, the treatment of ARMs continues to be a challenge to the pediatric surgeons due to the nature and the variability of the anomaly, and short- and long-term problems continue to exist even after nearly 40 years of the PSARP era. Today, knowing more about it, pediatric surgeons are committed to do more for their ARM patients to have them as physically and socially healthy individuals.

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References

  1. Peña A, Devries PA (1982) Posterior sagittal anorectoplasty: important technical considerations and new applications. J Pediatr Surg 17(6):796–811

    PubMed  Google Scholar 

  2. Holschneider A, Hutson J, Peña A et al (2005) Preliminary report of the International Conference for the development of standards for the treatment of anorectal malformations. J Pediatr Surg 40:521–1526

    Google Scholar 

  3. Peña A, Grasshoff S, Levitt M (2007) Reoperations in anorectal malformations. J Pediatr Surg 42:318–325

    PubMed  Google Scholar 

  4. Mullassery D, Chhabra S, Babu AM, Iacona R, Blackburn S, Cross KM, De Coppi P, Baillie CT, Kenny S, Curry JI (2019) Role of routine dilatations after anorectal reconstruction—comparison of two tertiary centers. Eur J Pediatr Surg 29:243–246

    PubMed  Google Scholar 

  5. Jenetzky E, Reckin S, Schmiedeke E et al (2012) Practice of dilatation after surgical correction in anorectal malformations. Pediatr Surg Int 28(11):1095–1099

    PubMed  Google Scholar 

  6. Jumbi T, Kuria K, Osawa F, Shahbal S (2019) The effectiveness of digital anal dilatation in preventing anal strictures after anorectal malformation repair. J Pediatr Surg 54(10):2178–2181

    PubMed  Google Scholar 

  7. Holbrook C, Misra D, Zaparackaite I, Cleeve S (2017) Post-operative strictures in anorectal malformation: trends over 15 years. Pediatr Surg Int 33(8):869–873

    PubMed  Google Scholar 

  8. Brisighelli G, Morandi A, Di Cesare A, Leva E (2016) The practice of anal dilations following anorectal reconstruction in patients with anorectal malformations: An international survey. Eur J Pediatr Surg 26(6):500–507

    PubMed  Google Scholar 

  9. Diseth TH (2006) Dissociation following traumatic medical treatment procedures in childhood: a longitudinal follow-up. Dev Psychopathol 18:233–251

    PubMed  Google Scholar 

  10. Diseth TH, Emblem R, Solbraa IB et al (1994) A psychosocial follow-up often adolescents with low anorectal malformations. Acta Paediatr 83:216–221

    CAS  PubMed  Google Scholar 

  11. Diseth TH, Egeland T, Emblem R (1998) Effects of anal invasive treatment and incontinence on mental health and psychosocial functioning of adolescents with Hirschsprung's disease and low anorectal anomalies. J Pediatr Surg 33:468–475

    CAS  PubMed  Google Scholar 

  12. Temple SJ, Shawyer A, Langer JC (2012) Is daily dilatation by parents necessary after surgery for Hirschsprung disease and anorectal malformations? J Pediatr Surg 47(1):209–212

    PubMed  Google Scholar 

  13. Halleran DR, Sanchez AV, Rentea RM, Ahmad H, Weaver L, Reck C, Gasior AC, Levitt MA, Wood RJ (2019) Assessment of the Heineke-Mikulicz anoplasty for skin level postoperative anal strictures and congenital anal stenosis. J Pediatr Surg 54(1):118–122

    PubMed  Google Scholar 

  14. Mueller CM, Beaunoyer M, St-Vil D (2010) Topical mitomycin-C for the treatment of anal stricture. J Pediatr Surg 45(1):241–244

    PubMed  Google Scholar 

  15. Kumar B, Kandpal DK, Sharma SB, Agrawal LD, Jhamariya VN (2008) Single-stage repair of vestibular and perineal fistulae without colostomy. J Pediatr Surg 43(10):1848–1852

    PubMed  Google Scholar 

  16. Menon P, Rao KL (2007) Primary anorectoplasty in females with common anorectal malformations without colostomy. J Pediatr Surg 42(6):1103–1106

    PubMed  Google Scholar 

  17. Kuijper CF, Aronson DC (2010) Anterior or posterior sagittal anorectoplasty without colostomy for low-type anorectal malformation: how to get a better outcome? J Pediatr Surg 45(7):1505–1508

    PubMed  Google Scholar 

  18. Lauriti G, Di Renzo D, Lelli Chiesa P, Zani A, Pierro A (2019) One-stage repair of anorectal malformations in females with vestibular fistula: a systematic review and meta-analysis. Pediatr Surg Int 35(1):77–85

    PubMed  Google Scholar 

  19. Kyrklund K, Pakarinen MP, Rintala RJ (2017) Long-term bowel function, quality of life and sexual function in patients with anorectal malformations treated during the PSARP era. Semin Pediatr Surg 26(5):336–342

    PubMed  Google Scholar 

  20. Kyrklund K, Pakarinen MP, Koivusalo A, Rintala RJ (2015) Bowel functional outcomes in females with perineal or vestibular fistula treated with anterior sagittal anorectoplasty: controlled results into adulthood. Dis Colon Rectum 58(1):97–103

    PubMed  Google Scholar 

  21. Amanollahi O, Ketabchian S (2016) One-stage vs. three-stage repair in anorectal malformation with rectovestibular fistula. Afr J Paediatr Surg 13:20–25

    PubMed  PubMed Central  Google Scholar 

  22. Karakus SC, User IR, Akcaer V et al (2017) Posterior sagittal anorectoplasty in vestibular fistula: with or without colostomy. Pediatr Surg Int 33:755–759

    PubMed  Google Scholar 

  23. Khalifa M, Shreef K, Al Ekrashy MA et al (2017) One or two stages procedure for repair of rectovestibular fistula: which is safer? (A single institution experience). Afr J Paediatr Surg 14:27–31

    PubMed  PubMed Central  Google Scholar 

  24. Stephens FD (1953) Congenital imperforate rectum, recto-urethral and rectovaginal fistulae. Aust N Z J Surg 22:161

    CAS  PubMed  Google Scholar 

  25. Stephens FD (1953) Malformations of the anus. Aust N Z J Surg 23:9

    CAS  PubMed  Google Scholar 

  26. Stephens FD (1953) Imperforate rectum. A new surgical technique. Med J Aust 1:202–207

    CAS  PubMed  Google Scholar 

  27. Alam S, Lawal TA, Peña A, Sheldon C, Levitt MA (2011) Acquired posterior urethral diverticulum following surgery for anorectal malformations. J Pediatr Surg 46(6):1231–1235

    PubMed  Google Scholar 

  28. Rentea RM, Halleran DR, Vilanova-Sanchez A, Lane VA, Reck CA, Weaver L, Booth K, DaJusta D, Ching C, Fuchs ME, Jayanthi RR, Levitt MA, Wood RJ (2019) Diagnosis and management of a remnant of the original fistula (ROOF) in males following surgery for anorectal malformations. J Pediatr Surg 54(10):1988–1992

    PubMed  Google Scholar 

  29. Hong AR, Acuña MF, Peña A, Chaves L, Rodriguez G (2002) Urologic injuries associated with repair of anorectal malformations in male patients. J Pediatr Surg 37(3):339–344

    PubMed  Google Scholar 

  30. Tainaka T, Uchida H, Tanaka Y, Hinoki A, Shirota C, Sumida W, Yokota K, Makita S, Oshima K, Chiba K, Ishimaru T, Kawashima H (2018) Long-term outcomes and complications after laparoscopic-assisted anorectoplasty vs. posterior sagittal anorectoplasty for high- and intermediate-type anorectal malformation. Pediatr Surg Int 34(10):1111–1115

    PubMed  Google Scholar 

  31. Podberesky DJ, Weaver NC, Anton CG, Lawal T, Hamrick MC, Alam S, Peña A, Levitt MA (2011) MRI of acquired posterior urethral diverticulum following surgery for anorectal malformations. Pediatr Radiol 41(9):1139–1145

    PubMed  Google Scholar 

  32. Bischoff A, Bealer J, Wilcox DT, Peña A (2019) Error traps and culture of safety in anorectal malformations. Semin Pediatr Surg 28(3):131–134

    PubMed  Google Scholar 

  33. Pandey V, Gangopadhyay AN, Gupta DK, Sharma SP, Kumar V (2014) Management of anorectal malformation without ligation of fistula: an approach preventing posterior urethral diverticula. J Pediatr Urol 10(6):1149–1152

    PubMed  Google Scholar 

  34. Jadhav S, Raut A, Mandke J, Patil S, Vora R, Kittur D (2013) Nonclosure of rectourethral fistula during posterior sagittal anorectoplasty: Our experience. J Indian Assoc Pediatr Surg 18(1):5–6

    PubMed  PubMed Central  Google Scholar 

  35. Reck-Burneo CA, Skerrit C, Dingemans A, Lane VA, Sanchez AV, Weaver L, Wagner A, Jenkins N, Wood RJ, Levitt MA (2019) Primary or redo posterior sagittal anorectoplasty without a stoma: To feed or not to feed? Eur J Pediatr Surg 29(2):150–152

    PubMed  Google Scholar 

  36. Takazawa S, Uchida H, Kawashima H, Tanaka Y, Masuko T, Deie K, Amano H, Kobayashi K, Tada M, Iwanaka T (2014) Urethroscopic holmium: YAG laser ablation for acquired posterior urethral diverticulum after repair of anorectal malformations. Pediatr Surg Int 30(9):945–949

    PubMed  Google Scholar 

  37. Belizon A, Levitt M, Shoshany G, Rodriguez G, Peña A (2005) Rectal prolapse following posterior sagittal anorectoplasty for anorectal malformations. J Pediatr Surg 40(1):192–196

    PubMed  Google Scholar 

  38. Brisighelli G, Di Cesare A, Morandi A, Paraboschi I, Canazza L, Consonni D, Leva E (2014) Classification and management of rectal prolapse after anorectoplasty for anorectal malformations. Pediatr Surg Int 30(8):783–789

    PubMed  Google Scholar 

  39. Sato H, Furuta S, Kawase H, Aoba T, Shima H, Wakisaka M, Kitagawa H (2012) The long-term prognosis of two-flap anoplasty for mucosal prolapse following anorectoplasty for anal atresia. Pediatr Surg Int 28(8):841–846

    PubMed  Google Scholar 

  40. Podevin G, Petit T, Mure PY, Gelas T, Demarche M, Allal H, Becmeur F, Varlet F, Philippe P, Weil D (2009) Heloury Y (2009) Minimally invasive surgery for anorectal malformation in boys: a multicenter study. J Laparoendosc Adv Surg Tech A 1:233–235

    Google Scholar 

  41. Pearl RH, Ein SH, Churchill B (1989) Posterior sagittal anorectoplasty for pediatric recurrent rectal prolapse. J Pediatr Surg 24:1100–1102

    CAS  PubMed  Google Scholar 

  42. Zornoza M, Molina E, Cerdá J, Fanjul M, Corona C, Tardáguila AR, Rojo R, Cañizo A, García-Casillas MA, Peláez D (2012) Postoperative anal prolapse in patients with anorectal malformations: 16 years of experience. Cir Pediatr 25(3):140–144

    CAS  PubMed  Google Scholar 

  43. Kumar B, Upadhyaya VD, Gupta MK, Kishore S, Nijagal Mutt JB, Yadav R, Kumar S (2018) Revision surgery in the management of anorectal malformations: Experience from a tertiary center of India. J Indian Assoc Pediatr Surg 23(3):148–152

    PubMed  PubMed Central  Google Scholar 

  44. Bischoff A, Levitt MA, Peña A (2011) Laparoscopy and its use in the repair of anorectal malformations. J Pediatr Surg 46(8):1609–1617

    PubMed  Google Scholar 

  45. Iwai N, Yanagihara J, Tokiwa K, Deguchi E, Takahashi T (1988) Results of surgical correction of anorectal malformations. A 10–30 year follow-up. Ann Surg 207(2):219–222

    CAS  PubMed  PubMed Central  Google Scholar 

  46. Levitt M, Peña A (2006) Complications after the treatment of anorectal malformations and redo operations. In: Holschneider AM, Hutson JM (eds) Anorectal malformations in children: Embryology, diagnosis, surgical treatment, follow-up. Springer, New York, pp 319–326

    Google Scholar 

  47. Lopez MP, Encila VI, Alamo SG, Monroy HJ III, Roxas MF (2017) Anorectal malformations: definitive surgery during adulthood. Tech Coloproctol 21(2):111–118

    CAS  PubMed  Google Scholar 

  48. MacRae HM, McLeod RS, Cohen Z, Stern H, Reznick R (1995) Treatment of rectovaginal fistulas that has failed previous repair attempts. Dis Colon Rectum 38(9):921–925

    CAS  PubMed  Google Scholar 

  49. Kulshrestha S, Kulshrestha M, Yadav A, Singh B, Elhence IP, Gangopadhyay AN, Sarkar B, Tewari V (2000) Posterior sagittal approach for repair of rectourethral fistula occurring after perineal surgery for imperforated anus at birth. J Pediatr Surg 35(8):1155–1160

    CAS  PubMed  Google Scholar 

  50. Alam S, Levitt MA, Sheldon CA, Peña A (2007) The posterior sagittal approach for recurrent genitourinary pathology. J Urol 178(4 Pt 2):1668–1671

    PubMed  Google Scholar 

  51. Kubota A, Kawahara H, Okuyama H, Oue T, Tazuke Y, Ihara Y, Nose S, Okada A, Shimada K (2003) Endorectal pull-through with posterior sagittal approach to the repair of postoperative rectourethral and rectovaginal fistula. J Pediatr Surg 38(12):1775–1777

    CAS  PubMed  Google Scholar 

  52. Tang S, Dong N, Tong Q, Wang Y, Mao Y (2007) Laparoscopic assisted endorectal pull-through with posterior sagittal approach to the repair of postoperative rectourethral and rectovaginal fistula. Pediatr Surg Int 23(11):1077–1080

    PubMed  Google Scholar 

  53. Grimsby GM, Fischer AC, Baker LA (2014) Autologous buccal mucosa graft for repair of recurrent rectovaginal fistula. Pediatr Surg Int 30(5):533–535

    PubMed  Google Scholar 

  54. Macedo A Jr, Silva MIS, Pompermaier JA, Ottoni SL, de Castro R, Leal da Cruz M (2017) The anterior sagittal transrectal approach (ASTRA) for cases associated with rectal implantation of the urethra: A retrospective review of six cases. J Pediatr Urol 13(6):613.e1–613.e4

    Google Scholar 

  55. Levitt MA, King SK, Bischoff A, Alam S, Gonzalez G, Pena A (2014) The Gonzalez hernia revisited: use of the ischiorectal fat pad to aid in the repair of rectovaginal and rectourethral fistulae. J Pediatr Surg 49(8):1308–1310

    CAS  PubMed  Google Scholar 

  56. Piper HG, Trussler A, Schindel D (2011) Gracilis transposition flap for repair of an acquired rectovaginal fistula in a pediatric patient. J Pediatr Surg 46(8):e37–41

    PubMed  Google Scholar 

  57. Said H, Syed SS, Zeinelabdeen A, Fayez MN (2018) Closure of a recurrent urethrovaginal fistula in a girl with cloacal anomaly using Deflux injection. European J Pediatr Surg Rep 6(1):e52–e55

    PubMed  PubMed Central  Google Scholar 

  58. Levitt M, Peña A (2009) Update on pediatric faecal incontinence. Eur J Pediatr Surg 19(1):1–9

    CAS  PubMed  Google Scholar 

  59. Peña A, Levitt MA (2002) Colonic inertia disorders in pediatrics. Curr Probl Surg 39(7):666–730

    PubMed  Google Scholar 

  60. Levitt MA, Peña A (2007) Anorectal malformations. Orphanet J Rare Dis 26(2):33

    Google Scholar 

  61. Levitt MA, Kant A, Peña A (2011) The morbidity of constipation in patients with anorectal malformations. J Pediatr Surg 45(6):1228–1233

    Google Scholar 

  62. Kyrklund K, Pakarinen MP, Koivusalo A, Rintala RJ (2014) Long-term bowel functional outcomes in rectourethral fistula treated with PSARP: controlled results after 4–29 years of follow-up: a single-institution, cross-sectional study. J Pediatr Surg 49(11):1635–1642

    PubMed  Google Scholar 

  63. Santos-Jasso KA, Arredondo-García JL, Maza-Vallejos J, Lezama-Del Valle P (2017) Effectiveness of senna vs polyethylene glycol as laxative therapy in children with constipation related to anorectal malformation. J Pediatr Surg 52(1):84–88

    PubMed  Google Scholar 

  64. van Meegdenburg MM, Heineman E, Broens PM (2015) Dyssynergic defecation may aggravate constipation: results of mostly pediatric cases with congenital anorectal malformation. Am J Surg 210(2):357–364

    PubMed  Google Scholar 

  65. Huang CF, Lee HC, Yeung CY, Chan WT, Jiang CB, Sheu JC, Wang NL, Lin JR (2012) Constipation is a major complication after posterior sagittal anorectoplasty for anorectal malformations in children. Pediatr Neonatol 53(4):252–256

    PubMed  Google Scholar 

  66. Nam SH, Kim DY, Kim SC (2016) Can we expect a favorable outcome after surgical treatment for an anorectal malformation? J Pediatr Surg 51(3):421–424

    PubMed  Google Scholar 

  67. Rintala RJ, Pakarinen MP (2008) Imperforate anus: long- and short- term outcome. J Pediatr Surg 17:79–89

    Google Scholar 

  68. Rintala R, Lindahl H (1995) Is normal bowel function possible after repair of intermediate and high anorectal malformations. J Pediatr Surg 30:491–494

    CAS  PubMed  Google Scholar 

  69. Bischoff A, Tovilla M (2010) A practical approach to the management of fecal incontinence. Semin Pediatr Surg 19:154–159

    PubMed  Google Scholar 

  70. Malone PS, Ransley PG, Kiely EM (1990) Preliminary report: the antegrade continence enema. Lancet 336(8725):1217–1218

    CAS  PubMed  Google Scholar 

  71. Tiryaki S, Ergun O, Celik A, Ulman I, Avanoglu A (2010) Success of Malone's antegrade continence enema (MACE) from the patients' perspective. Eur J Pediatr Surg 20(6):405–407

    CAS  PubMed  Google Scholar 

  72. Curry JI, Osborne A, Malone PS (1999) The MACE procedure: experience in the United Kingdom. J Pediatr Surg 34(2):338–340

    CAS  PubMed  Google Scholar 

  73. Rintala R, Lindahl H (2001) Fecal continence in patients having undergone posterior saggital anorectoplasty procedure for high anorectal malformation improves at adolescence as constipation disappears. J Pediatr Surg 36:1218–1221

    CAS  PubMed  Google Scholar 

  74. Herman RS, Teitelbaum DH (2012) Anorectal malformations. Clin Perinatol 39(2):403–422

    PubMed  Google Scholar 

  75. Minneci PC, Kabre RS, Mak GZ, Halleran DR, Cooper JN, Afrazi A, Calkins CM, Corkum K, Downard CD, Ehrlich P, Fraser JD, Gadepalli SK, Helmrath MA, Kohler JE, Landisch R, Landman MP, Lee C, Leys CM, Lodwick DL, McLeod J, Mon R, McClure B, Rymeski B, Saito JM, Sato TT, St Peter SD, Wood R, Levitt MA, Deans KJ, Midwest Pediatric Surgery Consortium (2019) Can fecal continence be predicted in patients born with anorectal malformations? J Pediatr Surg 54(6):1159–1163

    PubMed  Google Scholar 

  76. Schmiedeke E, Zwink N, Schwarzer N, Bartels E, Schmidt D, Grasshoff-Derr S, Holland-Cunz S, Hosie S, Jablonka K, Maerzheuser S, Reutter H, Lorenz C, Jenetzky E (2012) Unexpected results of a nationwide, treatment-independent assessment of fecal incontinence in patients with anorectal anomalies. Pediatr Surg Int 28(8):825–830

    PubMed  Google Scholar 

  77. Wood RJ, Levitt MA (2018) Anorectal malformations Clin Colon Rectal Surg 31(2):61–70

    PubMed  Google Scholar 

  78. Peña A (1995) Anorectal malformations. Semin Pediatr Surg 4(1):35–47

    PubMed  Google Scholar 

  79. Levitt M, Peña A (2010) Fecal incontinence and constipation. In: Holcomb GW, Murphy JP (eds) Ashcraft's Pediatric Surgery, 5th edn. Saunders, Philadelphia, pp 409–501

    Google Scholar 

  80. Tannuri AC, Ferreira MA, Mathias AL (1992) Tannuri U (2016) Long-term evaluation of fecal continence and quality of life in patients operated for anorectal malformations. Rev Assoc Med Bras 62(6):544–552

    Google Scholar 

  81. Kyrklund K, Pakarinen MP, Rintala RJ (2017) Manometric findings in relation to functional outcomes in different types of anorectal malformations. J Pediatr Surg 52(4):563–568

    PubMed  Google Scholar 

  82. Skerritt C, Tyraskis A, Rees C, Cockar I, Kiely E (2016) Early reported rectal sensation predicts continence in anorectal anomalies. J Pediatr Surg 51(3):425–429

    PubMed  Google Scholar 

  83. Levitt MA, Peña A (2005) Outcomes from the correction of anorectal malformations. Curr Opin Pediatr 17(3):394–401

    PubMed  Google Scholar 

  84. Mantoo S, Meurette G, Wyart V et al (2013) The impact of anorectal malformations on anorectal function and social integration in adulthood: report from a national database. Colorectal Dis 15(6):e330–e335

    CAS  PubMed  Google Scholar 

  85. Danielson J, Karlbom U, Graf W, Wester T (2017) Outcome in adults with anorectal malformations in relation to modern classification - Which patients do we need to follow beyond childhood? J Pediatr Surg 52(3):463–468

    PubMed  Google Scholar 

  86. Danielson J, Karlbom U, Graf W, Wester T (2019) Persistent fecal incontinence into adulthood after repair of anorectal malformations. Int J Colorectal Dis 34(3):551–554

    PubMed  Google Scholar 

  87. Davies MC, Liao LM, Wilcox DT, Woodhouse CR, Creighton SM (2010) Anorectal malformations: what happens in adulthood? BJU Int 106(3):398–404

    PubMed  Google Scholar 

  88. Corbett P, Denny A, Dick K, Malone PS, Griffin S, Stanton MP (2014) Peristeen integrated transanal irrigation system successfully treats faecal incontinence in children. J Pediatr Urol 10(2):219–222

    PubMed  Google Scholar 

  89. Rangel SJ, Lawal TA, Bischoff A, Chatoorgoon K, Louden E, Peña A, Levitt MA (2011) The appendix as a conduit for antegrade continence enemas in patients with anorectal malformations: lessons learned from 163 cases treated over 18 years. J Pediatr Surg 46(6):1236–1242

    PubMed  Google Scholar 

  90. Ergun O, Tatlisu R, Pehlivan M, Celik A (2010) The efficacy of external neuromyogenic stimulation on neuromuscular anorectal incontinence. Eur J Pediatr Surg 20(4):230–233

    CAS  PubMed  Google Scholar 

  91. Dewberry L, Trecartin A, Peña A, Pierre MS, Bischoff A (2019) Systematic review: sacral nerve stimulation in the treatment of constipation and fecal incontinence in children with emphasis in anorectal malformation. Pediatr Surg Int 35(9):1009–1012

    PubMed  Google Scholar 

  92. Iwai N, Fumino S (2012) Surgical treatment of anorectal malformations. Surg Today 43(9):955–962

    PubMed  Google Scholar 

  93. Schmidt D, Winter S, Jenetzky E, Zwink N, Schmiedeke E, Maerzheuser S (2012) Sexual function in adults with anorectal malformation: psychosocial adaptation. German Network for Congenital Uro-Rectal Malformations (CURE-Net). Pediatr Surg Int 28(8):789–792

    PubMed  Google Scholar 

  94. Rintala R, Mildh L, Lindahl H (1994) Fecal continence and quality of life for adult patients with an operated high or intermediate anorectal malformation. J Pediatr Surg 29:777–780

    CAS  PubMed  Google Scholar 

  95. Konuma K, Ikawa H, Kohno M, Okamoto S, Masuyama H, Fukumoto H (2006) Sexual problems in male patients older than 20 years with anorectal malformations. J Pediar Surg 41(2):306–309

    Google Scholar 

  96. Goodman MP (2009) Female cosmetic genital surgery. Obstet Gynecol 113:154–159

    PubMed  Google Scholar 

  97. Vilanova-Sanchez A, Reck CA, McCracken KA, Lane VA, Gasior AC, Wood RJ, Levitt MA, Hewitt GD (2018) Gynecologic anatomic abnormalities following anorectal malformations repair. J Pediatr Surg 53(4):698–703

    PubMed  Google Scholar 

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  1. Department of Pediatric Surgery, Faculty of Medicine, Ege University, Izmir, Turkey

    Emre Divarci & Orkan Ergun

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Divarci, E., Ergun, O. General complications after surgery for anorectal malformations. Pediatr Surg Int 36, 431–445 (2020). https://doi.org/10.1007/s00383-020-04629-9

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