Patient-reported urinary outcomes in adult males with congenital colorectal conditions.
Anorectal malformation
Frequency
Hirschsprung disease
Incontinence
Urgency
Urinary tract infection
Journal
Pediatric surgery international
ISSN: 1437-9813
Titre abrégé: Pediatr Surg Int
Pays: Germany
ID NLM: 8609169
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
accepted:
02
09
2022
pubmed:
24
9
2022
medline:
16
11
2022
entrez:
23
9
2022
Statut:
ppublish
Résumé
Long-term urinary outcomes for patients born with Hirschsprung disease (HD) and anorectal malformations (ARM) may impact their health and wellbeing into adulthood. This study describes self-reported long-term urinary outcomes in males with HD and ARM. This was a prospective study of male patients in the Adult Colorectal Research Registry who completed surveys on urinary function between October 2019 and March 2022. Self-reported health and functional outcomes were summarized, and differences based on type of condition were compared. Sixty-seven patients completed the questionnaire (response rate: 59.1%), of which 17.9% (12) had HD and 82.1% (55) had an ARM. Rates of urinary incontinence and stress urinary incontinence were 16.4% (11) and 4.5% (3), respectively. On sub-analysis of patients with ARM, patients with sacral ratio (SR) of 0.4-0.69 reported higher UTI rates compared to those with SR ≥ 0.7 (57.9 vs 25.8%, p = 0.023). Renal failure rates were highest among patients with recto-bladder neck fistulas (66.0%, p = 0.012). Patients with HD and ARM report a variety of urological sequelae in adulthood. Outcomes appear to be more common in patients with ARM and may be impacted by both anatomy and sacral ratios. Transitional care to monitor and manage renal and urological function is imperative.
Identifiants
pubmed: 36151341
doi: 10.1007/s00383-022-05215-x
pii: 10.1007/s00383-022-05215-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1709-1716Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Sood S, Lim R, Collins L, Trajanovska M, Hutson JM, Teague WJ, King SK (2018) The long-term quality of life outcomes in adolescents with Hirschsprung disease. J Pediatr Surg 53(12):2430–2434. https://doi.org/10.1016/j.jpedsurg.2018.08.036
doi: 10.1016/j.jpedsurg.2018.08.036
pubmed: 30244941
Roorda D, Witvliet MJ, Wellens LM, Schulten DV, Sloots CEJ, de Blaauw I, Broens PMA, Oosterlaan J, van Heurn LWE, van der Steeg AFW (2018) Long-term outcome and quality of life in patients with total colonic aganglionosis in the Netherlands. Colorectal Dis 20(8):719–726. https://doi.org/10.1111/codi.14095
doi: 10.1111/codi.14095
pubmed: 29543374
Meinds RJ, van der Steeg AFW, Sloots CEJ, Witvliet MJ, de Blaauw I, van Gemert WG, Trzpis M, Broens PMA (2019) Long-term functional outcomes and quality of life in patients with Hirschsprung’s disease. Br J Surg 106(4):499–507. https://doi.org/10.1002/bjs.11059
doi: 10.1002/bjs.11059
pubmed: 30653654
pmcid: 6590339
Bjoersum-Meyer T, Kaalby L, Lund L, Christensen P, Jakobsen MS, Baatrup G, Qvist N, Ellebaek M (2021) Long-term functional urinary and sexual outcomes in patients with anorectal malformations-a systematic review. Eur Urol Open Sci 25:29–38. https://doi.org/10.1016/j.euros.2021.01.007
doi: 10.1016/j.euros.2021.01.007
pubmed: 34337501
pmcid: 8317805
Bischoff A, Levitt MA, Peña A (2013) Update on the management of anorectal malformations. Pediatr Surg Int 29(9):899–904. https://doi.org/10.1007/s00383-013-3355-z
doi: 10.1007/s00383-013-3355-z
pubmed: 23913263
Strine AC, VanderBrink BA, Alam Z, Schulte M, Noh PH, DeFoor WR Jr, Minevich E, Sheldon CA, Frischer JS, Reddy PP (2017) Clinical and urodynamic outcomes in children with anorectal malformation subtype of recto-bladder neck fistula. J Pediatr Urol 13(4):376.e1-376.e6. https://doi.org/10.1016/j.jpurol.2017.06.008
doi: 10.1016/j.jpurol.2017.06.008
Neuvonen M, Kyrklund K, Taskinen S, Koivusalo A, Rintala RJ, Pakarinen MP (2017) Lower urinary tract symptoms and sexual functions after endorectal pull-through for Hirschsprung disease: controlled long-term outcomes. J Pediatr Surg 52(8):1296–1301. https://doi.org/10.1016/j.jpedsurg.2017.02.013
doi: 10.1016/j.jpedsurg.2017.02.013
pubmed: 28341232
De La Torre L, Langer JC (2010) Transanal endorectal pull-through for Hirschsprung disease: technique, controversies, pearls, pitfalls, and an organized approach to the management of postoperative obstructive symptoms. Semin Pediatr Surg 19(2):96–106. https://doi.org/10.1053/j.sempedsurg.2009.11.016
doi: 10.1053/j.sempedsurg.2009.11.016
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381
doi: 10.1016/j.jbi.2008.08.010
pubmed: 18929686
Kyrklund K, Taskinen S, Rintala RJ, Pakarinen MP (2012) Lower urinary tract symptoms from childhood to adulthood: a population based study of 594 Finnish individuals 4 to 26 years old. J Urol 188(2):588–593. https://doi.org/10.1016/j.juro.2012.04.016
doi: 10.1016/j.juro.2012.04.016
pubmed: 22704114
Giuliani S, Midrio P, De Filippo RE, Vidal E, Castagnetti M, Zanon GF, Gamba PG (2013) Anorectal malformation and associated end-stage renal disease: management from newborn to adult life. J Pediatr Surg 48(3):635–641. https://doi.org/10.1016/j.jpedsurg.2012.10.073
doi: 10.1016/j.jpedsurg.2012.10.073
pubmed: 23480924
Bischoff A, DeFoor W, VanderBrink B, Goebel J, Hall J, Alonso M, Reddy P, Peña A (2015) End stage renal disease and kidney transplant in patients with anorectal malformation: is there an alternative route? Pediatr Surg Int 31(8):725–728. https://doi.org/10.1007/s00383-015-3734-8
doi: 10.1007/s00383-015-3734-8
pubmed: 26143408
Chong C, Hamza Y, Tan YW, Paul A, Garriboli M, Wright AJ, Olsburgh J, Taylor C, Sinha MD, Mishra P, Taghizadeh A (2022) Long-term urology outcomes of anorectal malformation. J Pediatr Urol 18:150.e1-150.e6. https://doi.org/10.1016/j.jpurol.2022.01.019
doi: 10.1016/j.jpurol.2022.01.019
Hofmann AD, Duess JW, Puri P (2014) Congenital anomalies of the kidney and urinary tract (CAKUT) associated with Hirschsprung’s disease: a systematic review. Pediatr Surg Int 30(8):757–761. https://doi.org/10.1007/s00383-014-3529-3
doi: 10.1007/s00383-014-3529-3
pubmed: 24974188
Pini Prato A, Arnoldi R, Falconi I, Dusio MP, Ceccherini I, Tentori A, Felici E, Nozza P (2021) Congenital anomalies of the kidney and urinary tract in a cohort of 280 consecutive patients with Hirschsprung disease. Pediatr Nephrol 36(10):3151–3158. https://doi.org/10.1007/s00467-021-05061-4
doi: 10.1007/s00467-021-05061-4
pubmed: 33834290
Davidson JR, Kyrklund K, Eaton S, Pakarinen MP, Thompson DS, Cross K, Blackburn SC, De Coppi P, Curry J (2021) Long-term surgical and patient-reported outcomes of Hirschsprung disease. J Pediatr Surg 56(9):1502–1511. https://doi.org/10.1016/j.jpedsurg.2021.01.043
doi: 10.1016/j.jpedsurg.2021.01.043
pubmed: 33706942
Granéli C, Marschall Sima H, Börjesson A, Hagelsteen K, Arnbjörnsson E, Stenström P (2019) Urinary tract anomalies and urinary tract dysfunction in children with Hirschsprung disease-Is follow-up indicated? J Pediatr Surg 54(10):2012–2016. https://doi.org/10.1016/j.jpedsurg.2018.12.006
doi: 10.1016/j.jpedsurg.2018.12.006
pubmed: 30685200
Rosen N, Holder M (2022) What parents need to know about Hirschsprung disease. Semin Pediatr Surg 31:151159
doi: 10.1016/j.sempedsurg.2022.151159
pubmed: 35690467
Kyrklund K, Pakarinen MP, Taskinen S, Rintala RJ (2015) Bowel function and lower urinary tract symptoms in males with low anorectal malformations: an update of controlled, long-term outcomes. Int J Colorectal Dis 30(2):221–228. https://doi.org/10.1007/s00384-014-2074-9
doi: 10.1007/s00384-014-2074-9
pubmed: 25435141
Harwood R, Reid T, Salim A, Rachmani E, Siminas S, Horwood F, Almond SL, Corbett HJ (2021) Routine evaluation of vesico-ureteric reflux in children with anorectal malformation does not reduce the rate of urinary tract infection. J Pediatr Surg 56(10):1811–1815. https://doi.org/10.1016/j.jpedsurg.2021.02.062
doi: 10.1016/j.jpedsurg.2021.02.062
pubmed: 33789801
Samuk I, Bischoff A, Hall J, Levitt M, Peña A (2016) Anorectal malformation with rectobladder neck fistula: a distinct and challenging malformation. J Pediatr Surg 51:1592e6
doi: 10.1016/j.jpedsurg.2016.06.001
Tikkinen KA, Heikkilä J, Rintala RJ, Tammela TL, Taskinen S (2011) Lower urinary tract symptoms in adults treated for posterior urethral valves in childhood: matched cohort study. J Urol 186(2):660–666. https://doi.org/10.1016/j.juro.2011.03.150
doi: 10.1016/j.juro.2011.03.150
pubmed: 21683393
Bartoli S, Aguzzi G, Tarricone R (2010) Impact on quality of life of urinary incontinence and overactive bladder: a systematic literature review. Urology 75(3):491–500. https://doi.org/10.1016/j.urology.2009.07.1325
doi: 10.1016/j.urology.2009.07.1325
pubmed: 19962738
Acker S, Peña A, Wilcox D, Alaniz V, Bischoff A (2019) Transition of care: a growing concern in adult patients born with colorectal anomalies. Pediatr Surg Int 35(2):233–237. https://doi.org/10.1007/s00383-018-4401-7
doi: 10.1007/s00383-018-4401-7
pubmed: 30392127
Wood D, Wood H (2021) Congenital lifelong urology. World J Urol 39(4):979–980. https://doi.org/10.1007/s00345-021-03686-6
doi: 10.1007/s00345-021-03686-6
pubmed: 33954845
Faure Walker N, Gill B, Olsburgh J, Gillatt D, Yap T, Michala L, Taylor C, Wood H, Wood D (2021) Age-related urologic problems in the complex urologic patient. World J Urol 39(4):1037–1044. https://doi.org/10.1007/s00345-020-03111-4
doi: 10.1007/s00345-020-03111-4
pubmed: 32062806