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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 1018-4406
Vol. 18, No. 2, 2008, pp. 171-174
Bioline Code: pe08028
Full paper language: English
Document type: Short Communication
Document available free of charge

Iranian Journal of Pediatrics, Vol. 18, No. 2, 2008, pp. 171-174

 en Urogenital Tract Abnormalities Associated with Congenital Anorectal Malformations
Mirshemirani, Alireza; Roozroukh, Mohsen; Sadeghiyan, Sina & Kouranloo, Jaefar


Objective: Genitourinary anomalies in patients with imperforate anus are a frequent source of significant morbidity. Variability of reports on the incidence of associated anomalies with imperforate anus mandates investigation on this issue.
Material & Methods: he case records and imaging studies of 105 patients who underwent surgery for imperforate anus over a 10-year period are retrospectively reviewed. Voiding cystouretherography, intra venous pyelography (IVP) and ultrasound were performed in patients with intermediate or high level anorectal lesions.
Findings: During 10 years, there were 48 boys (45.7%) and 57 girls (54.3%) with imperforate anus. Genitourinary anomalies were seen in 34 (48.6%) patients with intermediate or high level anorectal lesions. Eighteen of them (52.9%) were shown to have vesicouretral reflux, only 6 of them required surgical correction. Vesicoureteral reflux was the most prominent urologic anomaly; other anomalies such as ureteropelvic junction (UPJ) stenosis, hydronephrosis, hypospadias, renal agenesis and undescended testis were seen in these series..
Conclusion: Patients with anorectal malformations should be evaluated for urinary tract and spinal anomalies.

Imperforate anus; Anorectal malformation; Urinary tract anomaly

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