Quality of life for children with fecal incontinence after surgically corrected anorectal malformation☆
Section snippets
Materials and methods
Seventy-one children who underwent surgical treatment for anorectal malformation at the second hospital of China Medical University underwent follow-up from 8 to 16 years postoperatively. Excluded were children who were mentally retarded. There were 48 boys and 23 girls, aged 8 to 16 years. The anomalies were classified according to the Wingspread International Classification of Anorectal Malformations.1 Thirty-seven children suffered from low anorectal malformations, 15 children had
Somatic assessment
Fecal continence was classified as good group (scores of 5 to 6), fair group (scores of 3 to 4), poor group (scores of 0 to 2; Table 2).Type Low Intermediate High Total Good group 30 6 1 37 Fair group 7 8 10 25 Poor group 0 1 8 9
Discussion
Quality of life in children is multidimensional. It includes, but is not limited to, the social, physical, and psychological functioning of the child. Fecal incontinence influences the quality of life. Severe fecal incontinence is a problem that may substantially diminish a person's quality of life. Probably no aberration of bodily function is as socially unacceptable as the inability to control one's stools. In adults, unsatisfactory fecal continence commonly carries with it social and sexual
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Address reprint requests to Weilin Wang, MD, the Second College of China Medical University, No. 36 Sanhao St, Heping District, Shenyang Liaoning, 110003, P.R. China.