ArticlePediatric nephrology (Berlin, Germany)2012
Urological anomalies and chronic kidney disease in children with anorectal malformations.
Article in Pediatric nephrology (Berlin, Germany), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Postoperative Genitourinary Challenges in Children with Anorectal Malformations: A Prospective Cohort Study Highlighting the Role of Follow-up.Medical journal of the Islamic Republic of Iran · 2026Article
- Identification of urological anomalies associated with anorectal malformation in southwestern Uganda: Limitations and opportunities.Journal of pediatric urology · 2024Article
- Article
- Neonatal Renal Failure in the Setting of Anorectal Malformation: A Case Report and Literature Review.Cureus · 2021Article
- Kidney structure and function in dilating vesicoureteral reflux patients with anorectal malformation.World journal of pediatric surgery · 2020Article
- End stage renal disease and kidney transplant in patients with anorectal malformation: is there an alternative route?Pediatric surgery international · 2015Article
- Pathology and Surgical Management of Urinary Retention Manifesting After Anorectal Malformation Surgery.Journal of Indian Association of Pediatric SurgeonsArticle
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Authors and funding
2 authors.
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Abstract
backgroundThis study aims to predict risk factors for urological anomalies in children with anorectal malformations (ARM) and describes the clinical features of patients who have developed chronic kidney disease.
methodsWe retrospectively reviewed infants with ARM who received surgery and were followed at the Sabah Women and Children's Hospital, Malaysia, from 1986 to 2010.
resultsOne hundred and twenty-two children with anorectal malformations were studied, after excluding 24 children with incomplete data. Three factors were significant as predictors of the presence of a urological anomaly: high ARM lesion (OR 3.12, 95%CI 1.1-8.9), the presence of genital abnormality (OR 2.95, 95%CI 1.10-7.91) and cloacal anomaly in girls (OR 8.27, 95% CI 1.91-35.6). The most common anomalies were vesicoureteric reflux, single kidney and neurogenic bladder. Chronic kidney disease (CKD) was noted in 5.7%, in children who had recurrent urinary tract infections, neurogenic bladder or complex renal tract pathology; end-stage renal failure was seen in only 0.8% of children with ARM.
conclusionUrological anomalies were seen in 23% of patients, but the overall incidence of CKD and end-stage renal disease is low. Early identification of infants with ARM at risk of renal failure may be important for renal survival.
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