Functional outcomes | Anorectal malformations | More anorectal malformations | Misc | Complications |
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What is fecal continence?
Defined by Rome IV criteria. (Less than one episode per week of uncontrolled passage of fecal material in an individual with a developmental age of at least 4 years old. Rome IV criteria specifies that symptoms are ongoing for at least 6 months and 2−4 episodes of fecal incontinence over 4 weeks.)
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What is a normal anus?
A perineal orifice centered within the sphincter complex that is the appropriate size for the child’s age and with a normal dentate line.
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What is Anal Stenosis?
perfectly centered anal orifice within the sphincter mechanism that is too small with or without a skin-lined funnel anal canal
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What is ARM With No Fistula or 'imperforate anus with no fistula?'
when the distal rectum is blind ending with no connection to the urinary tract or vagina
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What is atresia?
A term for the complete blockage of a tubular organ.
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What is clean or 'clean for stool?'
Less than 1 [fecal] accident per week (either voluntary or on an enema program)
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What is a recto bulbar fistula?
When the distal rectum inserts at the “elbow” (or lower) of the urethra
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What is Rectal Atresia?
a perfectly normal and centered anal canal with a rectal atresia above it
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What is Vestibular Fistula?
when the distal rectum inserts into the vestibule distal to the hymen
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What is stenosis?
A term commonly used for abnormal narrowing of a tubular organ due to a lesion, e.g. scarring.
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What is urinary continence?
Less than one urinary daytime accident per week in a patient who is spontaneous voiding per urethra (without clean intermittent catheterization) in an individual with a developmental age of at least 4 years old.
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What is a recto prostatic fistula?
When the distal rectum inserts above the “elbow” (at the triceps) of the urethra but below the bladder neck
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What is Rectal Stenosis?
perfectly normal and centered anal canal with a stenosis proximal to it in the anal canal or rectum
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What is Postoperative rectal prolapse in an ARM patient?
mucosal or full thickness rectal tissue that protrudes past the surgically created recto-cutaneous junction measured in millimeters occurring at least 3 months post-operatively
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What is stricture?
A term commonly used for abnormal narrowing of a tubular organ due to contraction of smooth muscle.
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What is dry or 'dry for urine?'
Less than one urinary daytime accident per week by either spontaneous voiding per urethra or clean intermittent catheterization in an individual with a developmental age of at least 4 years old. Nighttime accidents are not considered.
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What is a recto bladder neck fistula?
When the distal rectum inserts at the bladder neck (above the urinary sphincter)
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What is a Recto-Vaginal Fistula?
when the distal rectum inserts into the posterior wall of the vagina proximal the hymen
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What is total colonic Hirschsprung disease?
A disease where ganglion cells are absent in the entire colon with transition zone in the ileum.
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What is dehiscence?
a surgery complication where the incision, a cut made during a surgical procedure, reopens.
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What is 'distal?'
A word meaning "situated away from the center of the body"
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What is a perineal fistula or 'rectoperineal fistula?'
When the distal rectum inserts into the perineal skin (usually anterior) to the sphincter complex and outside the perfect center of the sphincter complex, and is too small and/or (male only) creates a sub epithelial tract.
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What is an H-Type Recto-Vaginal Fistula (congenital)?
when there is a normal vagina and normal anus with a fistula between the two from the dentate line to vestibule
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What is a stool softener?
medicine that softens stool with no stimulant effect
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What is Cloaca?
A female with a single perineal orifice between normal or underdeveloped labia on physical exam and a proximal confluence of the urinary, gynecologic, and gastrointestinal tracts.
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