German Network for Congenital Uro-REctal Malformations: first evaluation and interpretation of postoperative urological complications in anorectal malformations
| Autor: | Nadine Zwink, Stuart Hosie, Heiko Reutter, Eberhard Schmiedeke, Nicole Schwarzer, Ekkehart Jenetzky, Sabine Grasshoff-Derr, Gabriel Goetz, Enrika Bartels, Dominik Schmidt, Nicole Spychalski, Stefanie Maerzheuser, Stefan Holland-Cunz |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Urologic Diseases medicine.medical_specialty Adolescent Urinary Fistula Urinary system Fistula Anal Canal Postoperative Complications Germany Urethral Diseases Pediatric surgery Humans Rectal Fistula Medicine In patient Urinary Bladder Neurogenic Child Neurogenic bladder dysfunction Urinary tract function business.industry Infant Newborn Rectum Infant Postoperative complication General Medicine Middle Aged medicine.disease Surgery Child Preschool Chronic Disease Urinary Tract Infections Pediatrics Perinatology and Child Health Female business Digestive System Abnormalities Psychosocial |
| Zdroj: | Pediatric Surgery International. 27:1085-1089 |
| ISSN: | 1437-9813 0179-0358 |
| DOI: | 10.1007/s00383-011-2951-z |
| Popis: | The aim of the German Network for Congenital Uro-REctal Malformations is to collect data of affected patients with anorectal malformation (ARM) or extrophy–epispadias complex, and to investigate molecular causes, clinical implications, and psychosocial outcome. The current issue was to assess the postoperative sequelae related to lower urinary tract dysfunction in patients with ARM. Two hundred and sixty-seven patients with ARM (112 females, 155 males, median age 6 years, range 0–56 years) were investigated via standardized case report forms comprising interview, analysis of medical data, and personal questionnaires. Thirty-two patients (12%, 23 males, 9 females) suffered from neurogenic bladder dysfunction, mainly associated with recto-urethral fistula (11 cases, 34%), and recto-vesical fistula (6 cases, 19%). Sixty-eight patients (26%, 35 males, 57 females) have experienced lifetime urinary tract infection, primarily associated with recto-urethral fistula (21 cases, 31%), and vestibular fistula (13 cases, 19%). According to type of operation, the highest number of postoperative urologic problems was reported after abdominosacroperineal pull-through. Besides reconstructing the ARM, another main goal is the preservation of lower urinary tract function. In our data, there seems to be a close correlation between operative strategies and postoperative complications. |
| Databáze: | OpenAIRE |
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