Evaluation of anal shift procedure in management of anterior displaced anus in female children

Abstract

Background Anterior displaced anus (ADA) is a common anomaly in female children. There are several operative techniques for its treatment. Aim The aim of this study was to present experience with anal shift procedure for the treatment of ADA in female children. Patients and methods This is a prospective study that was conducted at the Pediatric Surgical Unit, Al-Azhar University Hospital, Damietta, during the period from October 2015 to September 2017. Fifteen female children with ADA underwent surgical correction by anal shift procedure. The anus position index was measured before and after the operation. Medical records of all patients were reviewed regarding operative time, intraoperative or postoperative complications, and conversion to other procedure. Parents’ satisfaction about cosmetic results of the technique was evaluated using a subjective score ranging from 0 to 4, where 0=no satisfaction, 1=fair satisfaction, 2=good satisfaction, 3=very good satisfaction, and 4=excellent satisfaction. All cases were followed up for a mean follow-up period of 12±2 months (range: 8–18 months). Results A total of 15 female children with ADA were corrected with anal shift procedure. Their mean age was 3.06±1.03 years (range: 1–5 year). Anal functions were normal with acceptable anal position indices at the end of follow-up period for all patients. Complications were mild and treated conservatively. Only one case had superficial disruption of anterior incision, and secondary sutures were done with good result. Conclusion Anal shift procedure appears to be a safe, simple, and effective surgical procedure for correction of ADA in female children.

Keywords

• anal shift
• anoplasty
• anterior displaced anus
• anterior displaced anus anterior displaced anus anterior displaced anus