Imperforate anus repair is surgery to correct a birth defect involving the rectum and anus.
An imperforate anus defect prevents most or all stool from passing out of the rectum.
See also: Imperforate anus
How this surgery is performed depends on the type of imperforate anus. The procedures are done under general anesthesia, which means the infant is asleep and feels no pain during the procedure.
For mild imperforate anus defects:
Two surgeries are often needed for more severe imperforate anus defects:
A major challenge for these repairs is finding, using, or creating nearby nerves and muscles so that the child can move the bowels normally.
The surgery repairs the defect so that stool can move through the rectum.
Risks for any anesthesia include:
Risks for any surgery include:
Risk specific to this procedure include:
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.
Anorectal malformation repair; Perineal anoplasty; Anorectal anomaly; Anorectal plasty