2002 Volume 38 Issue 7 Pages 1046-1051
Purpose : The aim of this study was to evaluate whether or not PSARP is a suitable operation for imperforate anus and to clarify future problems of patients with imperforate anus. Methods : Thirty-five cases underwent radical operations for imperforate anus (except cut-back) in our hospital. After 1989, PSARP was performed for 19 cases and the remaining 16 cases were treated before 1989. Fecal continence was compared using clinical scores of fecal continence in the two groups. Results : Of 11 highly defective cases, the average score of 6 cases in the PSARP group was significantly better than that of the previous 5 cases. Of 16 intermediary defective cases, 9 cases in the PSARP group were significantly better than those of the previous 7 cases. In the 7 cases with ano-vestibular fistula, there was no difference in the score between PSARP and Potts' procedure, and many patients suffered from constipation in spite of the procedure. Conclusions : 1. PSARP resulted in a good fecal continence in cases with high and intermediate defects. 2. Constipation occurred in many cases of ano-vestibular fistula. The etiology of constipation needs to be studied in the future.
