SURGICAL CORRECTION OF FECAL INCONTINENCE IN GENITAL FISTULAS IN GIRLS

Genital fistulas in girls with a completely developed anus (H-type fistulas, tubular duplication, terminal duplication of the alimentary tract) is one of the most complicated problems today due to the high frequency of complications. Since 1994 232 children with fecal incontinence of different etiology have been observed in Samarkand department of pediatric surgery. Out of them 28 girls with a completely developed anus and fecal incontinence due to genital fistulas were operated. All the children underwent a complex examination including X-ray examination (irrigography, cine defecography, lateral proctogrofistulography, etc.), abdominal and retroperitoneal ultrasound examination, functional methods of sphincter examination (anorectal manometry, rectoanal inhibitory reflex examination), fibrocolonoscopy and rheography, general blood, urine and feces analysis, neurohistochemical and histomorphological methods of examination. Analysis of the obtained data showed that anterior anorectal plasty with fistular extirpation and pull-through of the anterior wall of the rectum is, in our opinion, the most pathogenetically substantiated intervention that can obtain the best clinical results.

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