ArticlePediatric surgery international2022
Anorectal malformation, urethral duplication, occult spinal dysraphism (ARM-UD-OSD): a challenging uncommon association.
Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.
- Urethral multiplicity in boys: systematic review of case reports and case series from the last 15 years.Frontiers in pediatrics · 2024Pooled it
- Effmann Type IIA2 Urethral Duplication with Anorectal Malformation Complicated by Posterior Urethral Diverticulum: A Staged Minimally Invasive Approach.Surgical case reports · 2026Article
- Systematic review of ultrasound and MRI prediction of spinal cord anomalies in children with anorectal malformations: what a pediatric urologist writing a protocol needs to know.World journal of pediatric surgery · 2025Article
- Analysis of Risk Factors for Anorectal Malformations Combined with Tethered Cord Syndrome and the Impact of Untethering Surgery on Anorectal Function in Related Children: Preliminary Results from a Single-Center Study.Children (Basel, Switzerland) · 2024Article
- Long-term urological outcome of cloaca patients with multidisciplinary management.Pediatric surgery international · 2023Article
- Hypospadias management in children with anorectal malformation: a multidisciplinary single center experience.Pediatric surgery international · 2023Review
- Posterior urethral valves: Role of prenatal diagnosis and long-term management of bladder function; a single center point of view and review of literature.Frontiers in pediatrics · 2022Review
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Authors and funding
16 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUrethral duplication (UD) is a rare malformation, which can be associated with other anomalies, like anorectal malformations (ARM). ARM has been described with occult spinal dysraphism (OSD). No ARM-UD-OSD combination has been reported.
aimTo share our experience and to discuss the management of ARM-UD-OSD association.
methodsWe retrospectively reviewed records of five boys with UD. Four of these had ARM-UD-OSD association. ARM was the first diagnosis in all; OSD and UD was detected during screening for associated malformation.
resultsAll patients underwent ARM correction, 3 after colostomy. All reached fecal continence, 3 are performing bowel management. Three patients underwent UD surgical correction. Because of symptoms' worsening, 2 children had detethering surgery. At a mean follow-up of 9.5 years, all patients have normal renal function, 3 are on clean intermittent catheterization (CIC) for neurogenic bladder (1 has a cystostomy, another one an appendicostomy).
conclusionsUD and OSD should be considered in patients with ARM. Children with these conditions associated must be centralized in a third-level Center and management carefully planned; in particular, urethral reconstruction should be weighed, considering CIC could be required. Suspicion of neurogenic bladder must be present in OSD patient.
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