# Service Anorectal Malformation.Html
**Source:** https://ru.drsujitchowdhary.com/service-anorectal-malformation.html
**Language:** Russian
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# Anorectal Malformation (ARM / Imperforate Anus)
Дом / Услуги / Аноректальная мальформация
### Understanding Anorectal Malformation
An \*\*anorectal malformation\*\* (ARM) or imperforate anus is a congenital birth defect where the anus and rectum do not develop properly. In this condition, the anal opening is absent, misplaced, or too narrow. Frequently, the rectum connects to other pelvic organs (like the bladder, urethra, or vagina) via a fistula, preventing normal bowel function.
### Causes of Anorectal Malformation
ARM develops early in pregnancy (between the 5th and 12th weeks) when the hindgut is dividing. Key factors include:
- **Abnormal Embryonic Development:** Interruption in the separation of the cloaca into the rectum and urogenital tracts.
- **Генетические факторы:** A higher incidence in families with a history of malformations or associated syndromes (VACTERL association).
- **Environmental Influences:** Antenatal maternal factors during early fetal formation.
### Signs of Anorectal Malformation
Parents or pediatricians will observe these signs immediately after birth:
- **Absence of Anal Opening:** The anus is completely closed or replaced by a flat skin surface.
- **Failure to Pass Stool:** The newborn does not pass meconium within the first 24 to 48 hours of life.
- **Abnormal Fistula Discharges:** Stool or gas exiting from the urethra, bladder, or vagina.
- **Вздутие живота:** Progressive abdominal distension and vomiting.
#### Другие услуги
- Неопущенное яичко.
- Хирургия гипоспадии
- Детская роботизированная хирургия
- Инфекция мочевыводящих путей
- Везикоуретральный рефлюкс
- Грыжа и гидроцеле
- Гидронефроз
- PUJO
- Фимоз
- Невропатический мочевой пузырь
- Нарушение мочеиспускания
- Двойная система почек
- PUV
- Детская эндоурология и камни
- Экстрофия мочевого пузыря и эписпадия
- Аноректальная мальформация
#### Нужна консультация?
Запишитесь на прием к доктору Суджиту Чоудхари сегодня.
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#### Передовая помощь
## Варианты лечения
### PSARP (Peña Procedure)
Surgical approach through the perineum to expose the pelvic muscles, separate any fistula, and place the rectum inside the sphincter.
### Dividing Colostomy
A temporary staged procedure in newborns with high defects, diverting stool to a bag to allow safe healing of the pelvic region.
### Laparoscopic LAARP
Advanced keyhole surgery for high rectal anomalies, guiding the bowel down with camera precision and minimal tissue trauma.
#### Клинический путь
## Хирургический процесс
01
#### Staged Colostomy
Performed at birth for high defects. For low defects, a primary anoplasty is performed instead.
02
#### Definitive Pull-through
Performed at 2-6 months of age (PSARP or LAARP) to reconstruct the anus inside the muscle complex and close any urinary fistula.
03
#### Dilation & Closure
Weekly dilation of the new anus is performed at home to prevent narrowing, followed by colostomy closure in 2 months.
#### Истории успеха
## Услышать от родителей
"Our baby boy was born without an anal opening. Dr. Sujit performed a staged reconstruction (PSARP). Today, our son has normal bowel control and is doing great."
##### Ramesh K.
Father of 3yo patient
"We are so grateful to Dr. Chowdhary for performing the pull-through surgery for our daughter's cloaca. His bowel management program has been a lifesaver."
##### Meera J.
Мать
"The care and guidance we received for anal dilation and post-surgery care were excellent. Dr. Sujit is extremely patient and caring."
##### Alok Verma
Отец
"Медсестры и доктор Суджит — фантастическая команда. Они провели операцию нашего младенца с такой заботой и теплотой."
##### Прия Р.
Мать
"We traveled from another city just for Dr. Chowdhary. His approach is very scientific and caring."
##### Каран Сингх
Родитель
#### Уролог
## Почему стоит выбрать доктора Суджита Чоудхари?
Congenital absence of an anal opening requires precise micro-reconstruction to achieve continence and bowel control.
- Recognized expert in posterior sagittal anorectoplasty (PSARP).
- Specialist in neonatal bowel reconstruction for high ARM.
- Focus on achieving excellent fecal continence and quality of life.
- Comprehensive bowel management programs and long-term follow-up.
- Compassionate support and care for children and parents.
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#### Частые запросы
## Часто задаваемые вопросы
##### What is an anorectal malformation (ARM)?
It is a congenital birth defect where the anus and rectum do not develop properly, preventing normal bowel movements.
##### Is immediate surgery required after birth?
Yes, temporary colostomy or primary reconstruction is performed within the first 24 to 48 hours of life to allow stool passage.
##### What is a PSARP procedure?
Posterior Sagittal Anorectoplasty (PSARP) is the definitive surgical procedure to reconstruct the anus and place the rectum inside the muscle complex.
##### Will my child achieve normal bowel control after surgery?
Most children with low-type malformations achieve excellent bowel control, while high-type malformations may require long-term bowel management program support.
##### What is a temporary colostomy?
It is a temporary diversion where the bowel is brought to the abdominal wall to pass stool into a bag, protecting the surgical site during healing.
##### When is the colostomy reversed?
Typically, the colostomy is reversed 2 to 3 months after the main PSARP reconstruction has healed.
##### Are there any long-term dietary needs for these children?
Children are monitored closely for constipation, and a high-fiber diet, adequate fluid intake, or laxatives may be recommended.
#### Связаться с нами
## Записаться на прием
Specialized reconstructive surgery offers the best outcomes for anorectal malformation. Schedule a consultation today.
##### Адрес клиники
D6, Club, 2, напротив Vasant Vihar, Vasant Vihar, Нью-Дели, Дели 110057
##### Вызов скорой помощи
+91 98732 06761
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