Abstract
Background
Anorectal malformations (ARMs) often result in lifelong problems with defecation.
There have been no studies performed to develop scoring systems in children with fecal
incontinence following repair of ARM. This study was designed to develop and validate
a tool (Baylor Continence Scale [BCS]) to measure social continence in children after
surgical correction of ARMs.
Methods
The BCS is a 23-question survey, was administered to children who have had repair
of an ARM, children with enuresis, and normal children.
Results
Children in the ARM group had an average BCS score of 28.0, which was statistically
different from an enuresis control group (16.5) and normal controls (11.5) (P < .05). A significantly greater proportion of children in the ARM group had higher
Impact on Family Scores (>30) than either the enuresis or normal control group (P < .05).
Conclusions
The BCS tool should be useful in prospective studies of interventions to improve incontinence
after repair of an ARM. An important secondary result of this study was to demonstrate
the effect on families of caring for a child with imperforate anus, even years after
the repair.
Index words
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Article info
Footnotes
Papers presented at the 58th Annual Meeting of the Section on Surgery of the American Academy of Pediatrics.
Identification
Copyright
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
