Anorectal malformation repair; Perineal anoplasty; Anorectal anomaly; Anorectal plasty
The infant may be able to go home later the same day after a mild defect is repaired. Or, the child may spend several days in the hospital.
The health care provider will use an instrument to dilate (stretch) the new anus to improve muscle tone and prevent narrowing. This must be continued for several months. Stool softeners and a high-fiber diet are recommended throughout childhood.
Most defects can successfully be corrected with surgery. Most children with milder defects do very well. However, constipation may be a problem.
Children who had more complex surgeries still usually have control of their bowel movements. However, they often need to follow a bowel program, including eating high-fiber foods, taking stool softeners, and sometimes using enemas.
Some children may need more surgery.
Klein MD, Thomas RP. Surgical conditions of the anus, rectum, and colon. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 341.
Warner BW. Pediatric surgery. In: Townsend CM, Beauchamp RD, Eyers BM, Mattox KL, eds. Sabiston Textbook of Surgery, 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 71.
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