Doctor insights on:
Imperforate Anus Repair
You can and you will: Anal atresia (imperforate anus) is rare and associated with several syndromes. Once detected conclusively during the first neonatal examination, it is a surgical urgency and repair has to be done within hours of life (either definitive or preliminary, depending on the nature of the defect). ...Read moreSee 1 more doctor answer
Poor signals: The imperforate anus can occur in isolation or as part of a syndrome. During fetal development the gut starts as a sausage like mass that forms a central cavity, lengthens & moves down from the inside to join up with the external skin at the anus. The defect can be as minimal as a thin membrane in normal position or gut ending far from the anus. Poor signal decoding triggers this defect. ...Read moreSee 2 more doctor answers
Lack of anal opening: An imperforate anus is a congenital anomaly in which a baby is born without an anal opening altogether, one that is too small, or one that is located in the wrong place (for example, opening into the vagina in a girl or into the bladder in a boy). It is definitively repaired with surgery to create a good anal opening in the right place. Sometimes, a colostomy is done first. ...Read moreSee 1 more doctor answer
Terminology issues: The lower colon forms from tissue that develops an inner tube.It grows on the inside down to where the anal opening should be. As the internal tissue meets the outside skin from the inside, the skin barrier between the structures dissolves and the anus "perforates". If the internal structure does not come close to the skin, or the outer skin stays separate, the hole cannot form. (imperforate) ...Read more
Charity: I'm not sure if you are looking for one to donate to or if you are looking for help for someone you know with the condition. I am not aware of a specific organization that just deals with imperforate anus. However, if you contact the Pediatric Surgery department of your local Children's Hospital, they likely have charitable foundations set up that deal with kids with this defect. ...Read more
A colostomy remains: There are various degrees of imperforate anus. If a septum alone is present it can be perforated and bowel will function. Various forms of proctoplasty have been employed to leave a functional anus but if colostomy was required at birth, there is no way to repair the problem since pulling bowel thru area with no sphincter, leaves incontinence. People function with colostomies and irrigate stoma ...Read more
Define perminent!: The complexity of the surgery for anal defects varies with the defect. If it is a short pull thru and the sphincter muscles can be preserved a favorable outcome with a single procedure may be possible. A complex repair with take down of a fistula and complications may need modifiations over time.Some kids may never have control as they grow older.Each case has unique issues. ...Read moreSee 2 more doctor answers
No: Imperforate anus is a congenital defect that occurs prior to birth and occurs sporadically without forwarning. Usually diagnosed at birth, treatment includes colostomy, anal reconstruction, and colostomy closure in a staged fashion. Hence prevention is nigh impossible at this time. ...Read moreSee 2 more doctor answers
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