What is imperforate anus with perineal fistula?

What is imperforate anus with perineal fistula?

Imperforate anus is a rare inborn abnormality characterized by the absence or abnormal localization of the anus. The rectum or the colon may be connected to the vagina or the bladder by a tunnel (fistula). With surgical correction, normal elimination can become possible.

What is Rectourethral fistula?

A recto-urethral fistula is characterized by the abnormal connection of the urethra to either the anus or rectum. This results in both solid waste and urine emptying from the body through the urethra.

What causes a Rectourethral fistula?

A rectourethral fistula (RUF) is an uncommon complication that is mostly iatrogenic in origin, but can also be caused by a neoplasm, infection, inflammation or trauma. Iatrogenic RUF are often the results of surgery or irradiation for prostate cancer, and less commonly are the result of rectal cancer [1].

What is a fistula in a male?

An anal fistula is a small tunnel that connects an infected gland inside the anus to an opening on the skin around the anus. Symptoms include pain and swelling around the anus. Diagnosis and treatment are discussed. Appointments 216.444.7000.

Why does imperforate anus happen?

Although the exact cause of imperforate anus is not fully understood, it is believed to be due to the abnormal development of the rectum when the embryo is forming inside the womb. Many forms of imperforate anus occur with other birth defects. Imperforate anus may also be part of a syndrome with multiple birth defects.

What are the signs and symptoms of imperforate anus?

Signs and symptoms of imperforate anus include:

• The opening to the anus is missing or not in the usual place. In girls, it may be near the vagina.
• No passage of poop within a day or 2 of birth.
• Passing poop through another opening, like the urethra in boys or vagina in girls.
• Swollen belly.

How is Rectourethral fistula diagnosed?

Voiding cystourethrography or retrograde urethrography usually provides a definitive diagnosis and delineate the size and location of RUFs, which is important for surgical planning. Besides that, upper urinary imaging should be carried out to exclude ureteral injury.

How serious is a fistula?

How serious is a fistula? Fistulas can cause a lot of discomfort, and if left untreated, may cause serious complications. Some fistulas can cause a bacteria infection, which may result in sepsis, a dangerous condition that can lead to low blood pressure, organ damage or even death.

Is a fistula serious?

Is fistula a major surgery?

Fistula surgery may be a minor procedure, but patience is definitely required for the recovery process. You might find that your wound drains for weeks after surgery, as it will be left open to aid healing.

Can imperforate anus be fixed?

A child with a narrow, low imperforate anus may only need one surgery. This surgery gently widens the anus. A child with an intermediate or high imperforate anus may need many surgeries. This is done to rebuild or move the anus.

Is imperforate anus life threatening?

While IA is rarely fatal, it can be life threatening, especially when perforation of the intestines or sepsis-related problems from an operation are involved.