ArticleScientific reports2020
Dyssynergic patterns of defecation in constipated adolescents and young adults with anorectal malformations.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Severe fecal incontinence predicts higher recurrence risk in complete rectal prolapse: a retrospective cohort study.BMC surgery · 2026Article
- Article
- Muscle regeneration therapy using dedifferentiated fat cell (DFAT) for anal sphincter dysfunction.Pediatric surgery international · 2024Article
- Correlation between congenital pelvic floor muscle development assessed by magnetic resonance imaging and postoperative defecation.Pediatric surgery international · 2024Article
- High-resolution anorectal manometry in children.Clinical and experimental pediatrics · 2024Article
- Evaluation of Anal Sphincter with High Resolution Anorectal Manometry and 3D Reconstruction in Patients with Anorectal Malformation.Children (Basel, Switzerland) · 2023Article
- Analysis of factors associated with postoperative complications after primary hypospadias repair: a retrospective study.Translational andrology and urology · 2022Article
- Diagnosis and management of fecal incontinence in children and adolescents.Frontiers in pediatrics · 2022Review
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We aimed to evaluate the etiologies of constipation in patients with anorectal malformations having a good prognosis for bowel control but a high risk of constipation. We included twenty-five patients from the Odense university hospital in Denmark. Patients were subjected to colon transit time examination and high resolution anorectal manometry (HRAM). The median age was 18 (14-24) and 48% (12/25) were females. Fifty-two % (13/25) of patients were diagnosed with constipation. Types of anorectal malformation were perineal fistula (9/25), rectovestibular fistula (8/25), rectourethral bulbar fistula (5/25) and no fistula (3/25). No difference in neither total colon transit time nor segmental colon transit times were found based on the presence of constipation. Only four of the constipated patients fulfilled criteria for dyssynergic defecation with a dyssynergic pattern at HRAM and prolonged colon transit time. A Type I dyssynergic pattern was dominant in constipated patients (7/13). A Dyssynergic defecation pattern was due to isolated contraction of puborectalis muscle in 9 out of 13constipated patients. We found a dyssynergic pattern during attempted defecation in patients with anorectal malformations disregarded the presence of constipation. In the majority of constipated patients an isolated contraction of the puborectalis muscle was visualized with HRAM.
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