{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:26:46Z","timestamp":1787772406891,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Associated congenital anomalies, operative structural injury, and postoperative neurovesical dysfunction combine to cause urinary retention in children with a history of surgery for anorectal malformation (ARM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To study the presentation and management of urinary retention in patients with a history of ARM surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>Retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Discussion:<\/jats:title>\n                    <jats:p>Twenty-five children presented with urinary retention with a history of ARM surgery performed elsewhere. There were 17 males (high \u2013 14, intermediate \u2013 2, and low \u2013 1) and 8 females (cloaca). Sixteen children had an abnormal spine. Eight children had urethral injury (total transection \u2013 3) and three had a large residual rectal stump. 41\/48 renal units were dilated and 27 refluxing. Seventeen children had abnormal estimated glomerular filtration rate and five had undergone urinary diversion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Management:<\/jats:title>\n                    <jats:p>Definitive surgical management was individualized, the most pertinent consideration being whether normal voiding would be feasible or whether a continent low pressure urinary reservoir with clean intermittent catheterization (CIC) would be a safer option. Operative management included excision of the rectal stump (3), urethral reconstruction (2), bladder augmentation (17), Mitrofanoff port (22), bladder neck closure (2), and antireflux surgery (13). Follow-up estimated glomerular filtration rate had improved\/normalized in all but two patients. HUN resolved\/improved in all and 25\/27 refluxing units ceased refluxing. All are socially continent with ten voiding normally and the rest on CIC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Urinary retention after ARM surgery is multifactorial and requires prompt recognition and possibly urinary diversion. Final reconstruction aims at achieving continence with safe upper tracts. Urethral voiding is possible in the selected cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_348_20","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T10:16:51Z","timestamp":1716545811000},"page":"147-152","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Pathology and Surgical Management of Urinary Retention Manifesting After Anorectal Malformation Surgery"],"prefix":"10.4103","volume":"27","author":[{"given":"Pavai","family":"Arunachalam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudipta","family":"Sen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cenita J.","family":"Sam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abu","family":"Backer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-6-20240905","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.jpurol.2006.10.006","article-title":"Use of ileum in reconstruction of the congenitally abnormal posterior urethra in two children","volume":"3","author":"Kumar","year":"2007","journal-title":"J Pediatr Urol"},{"key":"R3-6-20240905","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/01.XPS.0000503400.13933.ce","article-title":"The use of pedicled prepucial skin flap urethroplasty for proximal bulbomembranous urethral stricture in children: An easy alternative to transpubic urethroplasty","volume":"13","author":"Bal","year":"2017","journal-title":"Ann Pediatr Surg"},{"key":"R5-6-20240905","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1007\/s00383-010-2626-1","article-title":"Urological problems or fecal continence during long-term follow-up of patients with anorectal malformation","volume":"26","author":"Senel","year":"2010","journal-title":"Pediatr Surg Int"},{"key":"R6-6-20240905","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1007\/s00383-011-2959-4","article-title":"Urological anomalies in anorectal malformations in The Netherlands: Effects of screening all patients on long-term outcome","volume":"27","author":"Goossens","year":"2011","journal-title":"Pediatr Surg Int"},{"key":"R7-6-20240905","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1007\/s00467-012-2128-6","article-title":"Urological anomalies and chronic kidney disease in children with anorectal malformations","volume":"27","author":"Ganesan","year":"2012","journal-title":"Pediatr Nephrol"},{"key":"R8-6-20240905","doi-asserted-by":"crossref","first-page":"2273","DOI":"10.1016\/j.jpedsurg.2012.09.017","article-title":"Anomalies associated with anorectal malformations according to the Krickenbeck anatomic classification","volume":"47","author":"Nah","year":"2012","journal-title":"J Pediatr Surg"},{"key":"R9-6-20240905","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1007\/s00383-013-3355-z","article-title":"Update on the management of anorectal malformations","volume":"29","author":"Bischoff","year":"2013","journal-title":"Pediatr Surg Int"},{"key":"R10-6-20240905","doi-asserted-by":"crossref","first-page":"1834","DOI":"10.1016\/S0022-3468(98)90300-1","article-title":"Acute scrotum due to epididymo-orchitis in children with ARM","volume":"33","author":"O\u00f0uzkurt","year":"1998","journal-title":"J Pediatr Surg"},{"key":"R11-6-20240905","doi-asserted-by":"crossref","first-page":"108","DOI":"10.4103\/0971-9261.202683","article-title":"Urogenital management in cloaca: An alternative approach","volume":"22","author":"Bal","year":"2017","journal-title":"J Indian Assoc Pediatr Surg"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.JIAPS_348_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:44:43Z","timestamp":1787769883000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.JIAPS_348_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_348_20","relation":{},"ISSN":["0971-9261"],"issn-type":[{"value":"0971-9261","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}