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Pediatric Surgery International

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01.12.2024 | Original Article

Correlation between congenital pelvic floor muscle development assessed by magnetic resonance imaging and postoperative defecation

verfasst von: Qionghe Liang, Changgui Lu, Peng liu, Ming Yang, Weibing Tang, Weiwei Jiang

Erschienen in: Pediatric Surgery International | Ausgabe 1/2024

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Abstract

Objective

Children with congenital anorectal malformation (CAM) experience challenges with defecation. This study aims to assess defecation in preschool-age children with CAM and to evaluate the correlation between pelvic floor muscle developed assessed by magnetic resonance imaging (MRI) and postoperative defecation.

Methods

We collected clinical data and MRI results from 89 male children with CAM. The bowel function scores for children with Perineal (cutaneous) fistula, Rectourethral fistula(Prostatic or Bulbar), and Rectovesical fistula were computed. MRI scans were subjected to image analysis of the striated muscle complex (SMC). The association between pelvic floor muscle score and bowel function score was examined using the Cochran-Armitage Trend Test.

Results

We observed that 77.4% of the SMC scores by MRI for Perineal fistula were good. The Rectourethral fistula SMC score was 40.6% for moderate and 59.4% for poor. The SMC score for Rectovesical fistula was 100% for moderate. Furthermore, 77.4% of patients with Perineal fistula had bowel function scores (BFS) ≥ 17 points. Among those with Rectourethral fistula and Rectovesical fistula, 12.5% and 0 had BFS ≥ 17 points, respectively. An analysis of muscle development and bowel function in patients with Rectovesical fistula, Rectourethral fistula, and Perineal fistula revealed a correlation between SMC development and BFS. Subgroup analysis showed that the Perineal fistula had statistical significance; however, the Rectourethral fistula and Rectovesical fistula were not statistically significant.

Conclusion

A correlation exists between pelvic floor muscle development and postoperative defecation in children with Perineal fistula.

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Titel: Correlation between congenital pelvic floor muscle development assessed by magnetic resonance imaging and postoperative defecation
verfasst von: Qionghe Liang
Changgui Lu
Peng liu
Ming Yang
Weibing Tang
Weiwei Jiang
Publikationsdatum: 01.12.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2024
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-024-05691-3

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Correlation between congenital pelvic floor muscle development assessed by magnetic resonance imaging and postoperative defecation

Abstract

Objective

Methods

Results

Conclusion

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Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Häufigste Gründe für Brustschmerzen bei Kindern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Update Pädiatrie

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

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