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Anus imperforate pathophysiology

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An imperforate anus is a birth defect that happens while your baby is still growing in the womb. It occurs more often in boys than girls. The rectum, bladder, and vagina of a female baby with an imperforate anus sometimes share one large opening. This opening is called a cloaca.
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Anorectal malformations

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Imperforate Anus: Symptoms, Diagnosis, and Treatments

Anorectal malformations comprise a wide spectrum of diseases, which can affect boys and girls, and involve the distal anus and rectum as well as the urinary and genital tracts. They occur in approximately 1 in live births. Defects range from the very minor and easily treated with an excellent functional prognosis, to those that are complex, difficult to manage, are often associated with other anomalies, and have a poor functional prognosis. The surgical approach to repairing these defects changed dramatically in with the introduction of the posterior sagittal approach, which allowed surgeons to view the anatomy of these defects clearly, to repair them under direct vision, and to learn about the complex anatomic arrangement of the junction of rectum and genitourinary tract. Better imaging techniques, and a better knowledge of the anatomy and physiology of the pelvic structures at birth have refined diagnosis and initial management, and the analysis of large series of patients allows better prediction of associated anomalies and functional prognosis. The main concerns for the surgeon in correcting these anomalies are bowel control, urinary control, and sexual function.
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Imperforate Anus and Anorectal Malformations

Posterior sagittal anorectoplasty provides an optimal access to reconstruct the muscle complex in anorectal malformations. It gives much better results than the abdominoperineal pullthrough procedures performed before Clinical investigations of patients treated from to and from to are presented here and both groups are compared to each other.
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An imperforate anus or anorectal malformations ARMs are birth defects in which the rectum is malformed. ARMs are a spectrum of different congenital anomalies which vary from fairly minor lesions to complex anomalies. There are several forms of imperforate anus and anorectal malformations. The new classification is in relation of the type of associated fistula.
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