Posterior sagittal anorectoplasty (PSARP) is considered today the best surgical technique for the treatment of the @entity2463 . With the aim of evaluating the results of the PSARP in our @entity1 , the charts of 39 @entity1 (27 male, 12 female) were reviewed. Mean age was 11 years (3 to 20 years) and the mean follow-up period from the closure of the colostomy was 9.4 years (1 to 18 years). @entity1 with any alteration of the extrinsic innervation or those with rare @entity600 were excluded of the study. According to the Wingspread classification, 14 @entity1 had a high defect, 13 had an intermediate type and 12 had a low one. One @entity1 had a PSARP in the newborn period whereas the rest of them had a descending loop colostomy. Definitive repair consisted in PSARP in low and intermediate forms and in six of the high type @entity1 . The rest (8) of the high type @entity1 had a Rehbein abdominoperineal pull-through (DA) plus a PSARP. Evaluation for the surgical results was made by means of an anorectal manometry (existence or not of anal inhibitory reflex [RIA], the symmetry and pressure of the canal anal, and the existence of extrinsic innervation) and a clinical questionnaire. @entity1 or parents were asked for fecal continence, age at which the continence was achieved and the existence of severe @entity1142 . RESULTS: Low defects: Eleven @entity1 were continent between 3 and 5 years old. Seven @entity1 had RIA. Intermediate defects: Seven @entity1 were continent. Five (all with RIA) achieved continence between 2 and 8 years old; the other 2 were continent at the age of 10. The six incontinent @entity1 had absence of RIA and/or low-pressure anal canal. High defects: Five @entity1 were continent, between 11 and 16 years old. All had an DA plus PSARP. None of them had RIA. All the incontinent @entity1 had an anomalous anal canal. CONCLUSIONS: The lowest the type of an @entity2463 , the better the prognoses. In these @entity1 , there is a relationship between the achievement of continence, the presence of RIA and the symmetry and high pressures at the anal canal. Among the @entity1 with high defects, the results are better when they had an abdominoperineal pull-through plus PSARP.

[Nineteen years experience with posterior sagittal anorectoplasty as a treatment of XXXX ].

@entity1 :: ('9606', 'Species') :: ['children', 'Patients', 'patients', 'patient'] @entity1142 :: ('MESH:D003248', 'Disease') :: ['constipation'] @entity2463 :: ('MESH:C537771', 'Disease') :: ['anorectal malformations', 'anorectal malformation'] @entity600 :: ('MESH:D000014', 'Disease') :: ['malformations']
@entity2463 :: (MESH:C537771,Disease) :: ['anorectal malformation']
