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A friend's son was born without an anus. Reconstructive surgery was performed to construct the anus shortly after birth. The child is now 6 years old. Since the surgery, the child\'s intestine protrudes out of the anus. The surgeon told my friend that it is nothing to be concerned about and it’s only an aesthetic problem that can be easily corrected with another procedure. While the child does not appear to be in pain, he does have discomfort, especially while sitting. Is this a common risk or side effect of a surgery to reconstruct an anus? Was the surgery performed improperly? Is it only an aesthetic problem? What problems, if any, is the child at risk for with his intestine protruding out of the anus? Any help/advice would be greatly appreciated. Thanks. 

Asked in Diseases & Conditions - 634 days ago

Tags: A friend's son was born without an anus.  Reconstructive surgery was performed to construct the anus shortly after birth.  The child is now 6 years old.  Since the surgery, the child\'s intestine 

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KevinL
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This procedure is called Imperforate anus repair, which is a surgery done to correct a birth defect involving the rectum and anus. Risk specific to this procedure include: - Damage to the urethra (tube that carries urine out of the bladder) - Long-term problems with bowel movements because of damage to the nerves and muscles that supply the colon and rectum - Temporary paralysis of the bowel (paralytic ileus) - Kidney and bladder problems - Possible limb malformations Also, since his intestine sticks out of his anus, the condition is called Rectal Prolapse, which occurs when part or all of the wall of the rectum slides out of place, sometimes sticking out of the anus. Some symptoms of rectal prolapse include: * A feeling of having full bowels and an urgent need to have a bowel movement. * Passage of many very small stools. * The feeling of not being able to empty the bowels completely. * Anal pain, itching, irritation, and bleeding. * Bright red tissue that sticks out of the anus. Risk factors for children include: * Cystic fibrosis. A child who has rectal prolapse with no obvious cause may need to be tested for cystic fibrosis. * Having had surgery on the anus as an infant. * Malnutrition. * Deformities or physical development problems. * Straining during bowel movements. * Infections.

Answered by Tanman at May 20, 2010 04:57 AM

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