Anoplasty
Anoplasty is performed in infants born with low defects or perineal fistulas that do not require a protective colostomy.
Before the operation, the child remains NPO (no feeding through the mouth) for three to four hours.
The surgical procedure involves moving the fistula opening into a posterior anatomically correct position at the center of the sphincter and creating a larger anal opening.
The postoperative care consists of application of an antibiotic ointment to the perineum three times per day for two weeks. Intravenous antibiotics are administered for two to three days. Feedings are resumed immediately after surgery.
At the two-week check-up, a program of anal dilations is initiated. Breastfeeding is encouraged because it is unlikely to cause constipation. Infants receiving a synthetic formula may require a stool softener and occasionally a laxative.
For more information or to request an appointment, please contact the Colorectal Center at Cincinnati Children's.
