ArticleChildren (Basel, Switzerland)2023
Anorectal Malformations: Ideal Surgery Timing to Reduce Incontinence and Optimize QoL.
Article in Children (Basel, Switzerland), 2023. 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.
- Delayed presentation of anorectal malformation with rectourethral fistula in an infant: a case report.International journal of surgery case reports · 2026Article
- Medium-long term bowel function and quality of life in complete Currarino syndrome.Pediatric surgery international · 2026Article
- Pediatric surgical care of anorectal malformations: a global survey.Pediatric surgery international · 2026Article
- Psychometric comparison of CHU9D and PedsQL 4.0 proxy version administered to parents of children with congenital colorectal conditions in Australia.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Long-Term Bowel and Urinary Function Outcomes and Quality of Life in Patients with Anorectal Malformations: 20 Years of Experience.Children (Basel, Switzerland) · 2025Article
- Anorectal malformations.Nature reviews. Disease primers · 2024Review
- Evaluation of Anal Sphincter with High Resolution Anorectal Manometry and 3D Reconstruction in Patients with Anorectal Malformation.Children (Basel, Switzerland) · 2023Article
- State of the Art Bowel Management for Pediatric Colorectal Problems: Anorectal Malformations.Children (Basel, Switzerland) · 2023Review
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Authors and funding
10 authors.
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Abstract
Anorectal malformations (ARMs) are rare and involve a wide spectrum of malformations. Prenatal diagnosis is often incomplete, and the diagnostic pathway is started during the newborn period to identify the type of malformation and the correct treatment. This retrospective study included patients between 8 and 18 y.o. diagnosed with ARM, referring to Our Clinic. We proposed two questionnaires, Rintala Bowel Function Score and the Fecal Incontinence Quality of Life Scale, and we defined four groups referring to surgical timing (age in months < 3, 3-6, 6-9, >9). In total, 74 patients were recruited (mean age 13.05 ± 2.80 y.o.), and data analysis showed a significant relationship between comorbidity and surgical timing. Moreover, timing was related to outcome in terms of fecal continence (better if surgery performed before 3 months) and Quality of Life (QoL). QoL, however, is influenced by other factors (emotional and social life, psychological sphere and take of care of chronic disease). We considered rehabilitation programs, more often practiced by children who underwent surgery after 9 months, to maintain an appropriate relational life. This study highlights the importance of surgical timing as the first step of a multidisciplinary follow-up, taking care of the child in every phase of his growth, tailored to the single patient.
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