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쇄항 환아에 동반된 비뇨생식기의 기형

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Affiliated Author(s)
김광세박우현최순옥
Alternative Author(s)
Kim, Kwang SaePark, Woo HyunChoi, Soon Ok
Journal Title
대한비뇨기과학회지
ISSN
2005-6737
Issued Date
1995
Abstract
The increased occurrence of genitourinary tract anomalies in infants with imperforate anus is well documented. A retrospective analysis was made on 130 children with imperforate anus over the last 10 years. A 21%(27cases) incidence of associated genitourinary anomalies was found in this series. Patients with high and intermediate imperforate anus demonstrated a 30%(19/61) incidence of genitourinary anomalies. In contrast, patients with low imperforate anus revealed 12% (8/66) incidence of genitourinary anomalies. The spectrum of these anomalies were hydronephrosis. bilateral renal agenesis, bilateral polycystic kidney, bilateral VUR, unilateral renal hypoplasia, posterior urethral stricture, renal stone, cryptorchidism, hypospadias and epispadias in descending frequency of order. Hydronephrosis (13/27, 48%) was the most frequently encountered anomaly. Patients with high imperforate anus seems to be prone to have more severe urinary anomalies. Fistulae between the rectum and urinary tract were found in 33 patients with high and intermediate type imperforate anus (rectourethral fistula; 27 cases, rectovesical fistula, 3 cases, rectocloacal fistula, 3 cases). During the posterior sagittal anorectoplasty, fistula was corrected simultaneously. In conclusion, early urological screening should be done for the early diagnosis and treatment of associated genitourinary anomalies in all children with imperforate anus.
Key word : Imperforate anus, Genitourinary anomalies
Alternative Title
Urologic Anomalies Associated with Imperforate Anus
Department
Dept. of Urology (비뇨의학)
Dept. of Surgery (외과학)
Institute for Medical Science (의과학연구소)
Publisher
School of Medicine
Citation
김대영 et al. (1995). 쇄항 환아에 동반된 비뇨생식기의 기형. 대한비뇨기과학회지, 36(1), 65–69.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38755
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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