DIAGNOSIS AND SURGICAL MANAGEMENT OF ANTERIOR ECTOPY OF THE ANUS IN GIRLS

Authors

  • Karimov I.M. Department of Pediatric Surgery, Tashkent State Medical University, Tashkent, Uzbekistan

DOI:

https://doi.org/10.55640/

Keywords:

anterior ectopy of the anus; anococcygeal index; surgical correction; coccygeal agenesis; perineal reconstruction; pediatric surgery.

Abstract

Anterior ectopy of the anus (AEA) is a congenital anomaly predominantly affecting girls, characterized by anterior displacement of an otherwise normally functioning anus. Diagnosis is frequently delayed due to absent functional disturbances in early childhood. This study aimed to evaluate surgical outcomes and optimize management strategies for AEA in girls. A retrospective analysis of 20 girls surgically treated over a 10-year period was conducted. The anococcygeal index (ACI) was used for diagnosis. Three surgical techniques were employed: Stone’s anoplasty (n=5), Rissoli’s levatorplasty (n=8), and modified Rissoli’s operation with posterior sagittal anoproctoplasty (n=7). Satisfactory anatomical restoration was achieved in all patients. The modified technique demonstrated superior outcomes in patients with concurrent coccygeal agenesis. Rehabilitation duration ranged from 6 months to 2 years. Early surgical correction of AEA is indicated, with technique selection guided by associated anomalies.

Downloads

Download data is not yet available.

References

1.Reisner SH, Sivan Y, Nitzan M, Merlob P. Determination of anterior displacement of the anus in newborn infants and children. Pediatrics. 1984;73(2):216-7.

2.Bar-Maor JA, Eitan A. Determination of the normal position of the anus (with reference to idiopathic constipation). J Pediatr Gastroenterol Nutr. 1987;6(4):559-61.

3.Leape LL, Ramenofsky ML. Anterior ectopic anus: a common cause of constipation in children. J Pediatr Surg. 1978;13(6D):627-30.

4.Hendren WH. Constipation caused by anterior location of the anus and its surgical correction. J Pediatr Surg. 1978;13(6D):505-12.

5.Peña A, Devries PA. Posterior sagittal anorectoplasty: important technical considerations and new applications. J Pediatr Surg. 1982;17(6):796-811.

6.Peña A. Anorectal malformations. Semin Pediatr Surg. 1995;4(1):35-47.

7.Ashcraft KW, Holder TM. Pediatric Surgery. 2nd ed. Philadelphia: WB Saunders; 1993.

8.Herek O, Polat A. Incidence of anterior displacement of the anus and its relationship to constipation in children. Surg Today. 2004;34(2):190-2.

9.Wakhlu A, Pandey A, Wakhlu AK, Agarwal R. Anterior perineal anus in females. Pediatr Surg Int. 1996;11(7):467-9.

10.Levitt MA, Peña A. Anorectal malformations. Orphanet J Rare Dis. 2007;2:33.

11.Davari HA, Hosseinpour M. The anal position index: a simple method to define the normal position of the anus in neonate. Acta Paediatr. 2006;95(7):877-80.

12.Upadhyaya P. Mid-anal sphincteric malformation, cause of constipation in anterior perineal anus. J Pediatr Surg. 1984;19(2):183-6.

13.Salamov KN, Dultsev YV. Anorectal anomalies in adults. Moscow: Medicine; 1988. 208 p. [In Russian].

14.Lenuschkin AI, Komissarov IA. Pediatric Coloproctology: A Manual for Physicians. St. Petersburg: SPMA; 2008. 448 p. [In Russian].

15.Holschneider AM, Hutson JM, editors. Anorectal Malformations in Children: Embryology, Diagnosis, Surgical Treatment, Follow-up. Berlin: Springer; 2006.

16.Swenson O. Pediatric Surgery. 5th ed. New York: Appleton and Lange; 1990.

Downloads

Published

2026-03-27

Issue

Vol. 5 No. 03 (2026): Journal of Multidisciplinary Sciences and Innovations

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.

How to Cite

DIAGNOSIS AND SURGICAL MANAGEMENT OF ANTERIOR ECTOPY OF THE ANUS IN GIRLS. (2026). Journal of Multidisciplinary Sciences and Innovations, 5(03), 2168-2173. https://doi.org/10.55640/

Similar Articles

1-10 of 340

You may also start an advanced similarity search for this article.