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ORIGINAL RESEARCH article
Front. Surg.
Sec. Pediatric Urology
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1497644
Urogenital anomalies in children with Anorectal malformations: A single institution observational study
Provisionally accepted- 1College of Health Sciences, Addis Ababa University, Addis Ababa, Addis Ababa, Ethiopia
- 2College of Medicine and Health Science, Jijiga University, Jijiga, Somali Region, Ethiopia
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Introduction: Anorectal malformations consist of a range of anomalies that occur in approximately 3.5 in 10,000 live births. Though variable, about half of these patients have an associated genitourinary abnormality. Considering this high rate, the study aimed at assessing the specific occurrence of associated urogenital anomalies in these patients.Methods: An institution based observational study conducted on 156 cases with Anorectal malformation and screened for urogenital anomalies. Data collected using a pre-structured questionnaire and analysis done using SPSS (IBM) Version 26 software. Relevant statistical analysis done and the results presented in tables.Results and Discussion: Of 156 patients of ARM studied for associated urogenital anomalies, 91(58.3%) of the patients were females with a male-to-female ratio of 0 .7:1 and a median age of 12 months [IQR=1-24]. Forty-six of them (29.5%) had urogenital anomalies of which 22(14.1%) were isolated urologic and 20(12.8%) with both urologic and genital anomalies. Renal anomalies found in 34(21.8%) patients. The association between gender and genital anomalies was significant, χ 2 (1), N=156=4.09, p=.04. The type of ARM has a highly significant association with genital anomalies χ 2 (11), N=156=21.95, p=.009. Males were less likely to exhibit urogenital anomalies (OR=.386, 95% CI [.15 to.995], p=.048). Children with complex ARM have 3.4 times genital and 2.3 times urinary anomalies than less complex forms. In summary, Urogenital anomalies are the commonest anomalies occurring in association with Anorectal malformation. Genital anomalies have an association with gender with more occurrence in females. Children with complex Anorectal malformations have a higher chance of urogenital anomalies.
Keywords: anorectal malformation, Urinary, genital, Urogenital anomalies, renal anomalies
Received: 17 Sep 2024; Accepted: 07 Apr 2025.
Copyright: © 2025 Wondemagegnehu and Asfaw. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Belachew Dejene Wondemagegnehu, College of Health Sciences, Addis Ababa University, Addis Ababa, Addis Ababa, Ethiopia
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