Rectal Atresia and Stenosis in Males
Rectal atresia and stenosis are unusual defects that occur in approximately 1 percent of all cases of anorectal malformations. There is no communication with the urinary tract.
The perineum looks normal, including a normal-looking anus. Complete obstruction atresia or a decrease in the caliber (stenosis) of the rectum is present approximately 2 cm above the anal opening. These are the cases in which the diagnosis is delayed and established by a nurse while trying to take a rectal temperature.
The sacrum and sphincters are normal and therefore the prognosis for bowel function is excellent. A temporary colostomy is indicated followed by a main repair Posterior Sagittal Anorectoplasty (PSARP) usually performed within the first year of life on an elective basis.
