The analysis of continence after posterosagital anorectoplasty in anorectal malformation patients in Wahidin Sudirohusodo hospital of Makassar

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dc.contributor.authorLawile, Alwien_US
dc.contributor.authorMantu, Farid Nuren_US
dc.contributor.authorMariana, Nitaen_US
dc.contributor.authorSeweng, Arifinen_US
dc.date.accessioned2020-11-18T09:58:25Z
dc.date.available2020-11-18T09:58:25Z
dc.date.issued2019-06
dc.description.abstractBackground: The management of anorectal malformations universally uses posterior sagittal anorectoplasty (PSARP) as standard surgery. The aim of this research was to determine continence in patients with anorectal malformation after PSARP action.Methods: This study was a descriptive analytical categorical research with cross sectional design. The data were obtained from patients’ medical records and questionnaire given to patients underwent PSARP in Wahidin Sudirohusodo Hospital and network hospitals from June 1 to December 1, 2018. The analysis was done to 60 children ranging from 5 to 8 years old. Most of them were male (56.7%) ranging from 5 to 6 years old (53.3%).Results: The results of the research indicated that based on malformation subtype, most of them suffered from rectourethra fistula (40.0%) with continence problem (61.7%). There was no significant correlation between sex and continence problem (p >0.05). However, it was seen that the percentage of continence subjects was higher in female (65.4%) than in male (58.8%), while the percentage of soiling and constipated subjects was higher in male than in female. Rectourethra fistula was found more frequently in male than in female (70.6%), while vestibuler fistula was found more frequently in female (69.2%). There was no significant correlation between age and defecation problem (p >0.05). However, the percentage of continence and soiling subjects was higher in 5-6 years children then the one for 7-8 year children, while the percentage of constipated subjects was higher in 7-8 year children (21.4%) than 5-8 year children (18.8%).Conclusions: Gender differences in the outcome of children with anorectal malformations must be considered. Men with perineal fistula were likely to experience continence and constipation than women with perineal fistulas. Women with perineal fistulas and vestibular fistulas had almost similar outcome.en_US
dc.identifier.affiliationsDepartment Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesiaen_US
dc.identifier.affiliationsPediatric Surgery Division, Faculty of Medicine, Hasanuddin University, Makassar, Indonesiaen_US
dc.identifier.affiliationsDepartment of Statistics, Faculty of Public Health, Hasanuddin University, Makassar, Indonesiaen_US
dc.identifier.citationLawile Alwi, Mantu Farid Nur, Mariana Nita, Seweng Arifin. The analysis of continence after posterosagital anorectoplasty in anorectal malformation patients in Wahidin Sudirohusodo hospital of Makassar. International Journal of Research in Medical Sciences. 2019 Jun; 7(6): 2022-2026en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/211322
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber6en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20192476en_US
dc.subjectAnorectal malformationen_US
dc.subjectContinence PSARPen_US
dc.subjectDefecation disorderen_US
dc.subjectFistula typeen_US
dc.subjectKrickenbeck classificationen_US
dc.titleThe analysis of continence after posterosagital anorectoplasty in anorectal malformation patients in Wahidin Sudirohusodo hospital of Makassaren_US
dc.typeJournal Articleen_US
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