# Anorectal Malformation.Php
**Source:** https://drsujitchowdhary.com/service/anorectal-malformation.php
**Language:** Russian

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# Anorectal Malformation Treatment in Delhi

Дом  / Услуги  / Аноректальная мальформация

![Anorectal Malformation Pelvic Anatomy Diagram](../assets/images/services/anorectal-malformation.jpg)

### Understanding Anorectal Malformation

An **anorectal malformation** (ARM) or imperforate anus is a spectrum of congenital birth defects where the anus and rectum do not form properly. In these conditions, the normal anal opening is absent, misplaced, or severely narrow. Frequently, the rectum connects to other pelvic organs (such as the urethra, urinary bladder, or vagina) through an abnormal fistula tract. Comprehensive **Anorectal Malformation treatment in Delhi** provides staged reconstructive surgery to establish a functional anal opening and achieve long-term bowel continence.

### Causes of Anorectal Malformation

ARM develops early in pregnancy (between the 5th and 12th weeks) during hindgut division. Key contributing factors include:

- **Abnormal Embryonic Division:** Interruption in the normal separation of the cloaca into intestinal and urogenital passages.
- **Genetic & Syndromic Association:** Increased incidence in children with VACTERL association or underlying sacral/renal anomalies.
- **Developmental Factors:** Early fetal vascular or cellular development disruptions.

### Signs of Anorectal Malformation

Neonatal clinical signs observed shortly after birth include:

- **Absence of Normal Anal Opening:** The anus is completely closed or represented only by a flat perineal dimple.
- **Непрохождение мекония:**  The infant fails to pass first newborn stool within 24 to 48 hours of birth.
- **Fistula Discharges:** Passage of meconium or gas via the urethra, urinary catheter, or vaginal orifice.
- **Вздутие живота:**  Progressive abdominal swelling and bilious vomiting due to intestinal obstruction.

#### Другие услуги

- 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)

Micro-surgical posterior sagittal approach to carefully expose pelvic sphincter muscles, disconnect fistulas, and position the rectum in the muscle center.

### Dividing Staged Colostomy

A temporary newborn procedure for high defects to divert stool safely, preventing infection while preparing for main reconstructive surgery.

### Laparoscopic LAARP

Advanced keyhole surgical pull-through for high rectourethral defects, using camera magnification to guide the rectum with minimal muscle trauma.

#### Клинический путь

## Хирургический процесс

01

#### Staged Colostomy / Anoplasty

Performed at birth for high defects to relieve obstruction. Low-type defects undergo primary newborn anoplasty.

02

#### Definitive Pull-through

Performed at 2–6 months (PSARP or LAARP) to reconstruct the anus within the sphincter complex and close urinary fistulas.

03

#### Dilation & Reversal

Routine anal dilations ensure normal sizing, followed by colostomy reversal surgery 8–12 weeks later for full normal bowel flow.

#### Истории успеха

## Услышать от родителей

"Our baby boy was born without an anal opening. Seeking **Anorectal Malformation treatment in Delhi** led us to Dr. Sujit, who performed a staged PSARP reconstruction. Today, our son has normal bowel control and is thriving."

##### 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

"Dr. Chowdhary is the top **Anorectal Malformation doctor in Delhi**. The care and guidance we received for anal dilation and post-surgery recovery were exceptional."

##### 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's expertise in **Anorectal Malformation treatment in Delhi**. His approach is scientific, precise, and deeply caring."

##### Каран Сингх

Родитель

![Dr. Sujit Chowdhary](../assets/images/doctor.jpeg)

#### Urological & Pediatric Surgeon

## Почему стоит выбрать доктора Суджита Чоудхари?

When parents seek an experienced **Anorectal Malformation doctor in Delhi**, expert micro-reconstructive surgery (such as PSARP or laparoscopic LAARP) combined with a structured long-term bowel management program ensures optimal continence and quality of life for the child.

- Recognized specialist in PSARP and laparoscopic LAARP pull-through operations.
- Complete staged reconstruction for complex rectourethral and cloacal malformations.
- Comprehensive post-op anal dilation support and pediatric bowel management protocols.
- Focus on achieving optimal fecal and urinary continence for normal childhood growth.
- Compassionate, dedicated family-centered care throughout every surgical stage.

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#### Частые запросы

## Часто задаваемые вопросы

##### What is an Anorectal Malformation (ARM / Imperforate Anus)?

Anorectal Malformation (ARM) is a congenital anomaly where the anus and rectum fail to develop properly during early fetal gestation, resulting in an absent anal opening or an ectopic fistula opening into adjacent pelvic structures.

##### Is immediate emergency surgical treatment required after birth?

Yes, an evaluation within the first 24 to 48 hours of life is essential. High-type defects require a temporary colostomy to divert stool safely, whereas lower-type defects can often undergo primary anoplasty.

##### What is the PSARP (Peña) procedure?

Posterior Sagittal Anorectoplasty (PSARP) is the gold-standard surgical reconstruction for ARM. The surgeon carefully identifies the pelvic muscle sphincter complex and places the mobilized rectal pouch directly within the muscle center to optimize future bowel control.

##### What is laparoscopic LAARP surgery?

Laparoscopic-Assisted Anorectal Pull-through (LAARP) is an advanced keyhole surgical technique used for high rectourethral fistulas, allowing high-definition camera visualization to dissect the rectum and pull it down with minimal muscle disruption.

##### Why is post-operative anal dilation necessary at home?

After anoplasty or PSARP, routine home dilations using smooth Hegar dilators are performed for several weeks to prevent surgical scar tissue from contracting and narrowing the new anal orifice.

##### When is the temporary colostomy reversed?

Colostomy closure (reversal) is typically performed 8 to 12 weeks after the main pull-through surgery (PSARP/LAARP) once full anal healing and adequate dilation sizing have been confirmed.

##### Will my child achieve normal fecal continence and bowel control?

Children with low defects almost always achieve complete fecal continence. Children with higher defects or associated sacral anomalies benefit greatly from a structured pediatric bowel management protocol to prevent constipation and ensure clean, confident daily routines.

#### 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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