Urogenital Malformations Associated With Congenital anorectal anomalies

Abstract EN

Background / Purpose : Genitourinary anomalies in patients with imperforate anus are a frequent souree of significant morbidity.

Variability of reports on the incidence of associated anomalies with imperforate anus mandates further investigation on this issue.

Material and Methods: The case records and imaging studies of 63 patients who underwent reparative surgery for imperforate anus over a 9-year period were retrospectively reviewed. Results : Genitourinary anomalies were seen in 29 patients (16.03%).

A voiding cystourethrogram was performed in 36 patients, 11 of whom were shown to have vesicoureteric reflux and 3 of whom required surgical correction.

Vesicoureteral reflux was the most prominent urologic anomaly observed.

Uretropelvic junction (UPJ) stenosis, hydronephrosis, hypospadiasis, renal agenesis and undescended tests were also common in these patients. Conclusions : Patients with anorectal malformations should be evaluated for urinary tract and spinal problems.