What are the long term problems?
The new opening created becomes narrow (anal stenosis) in 20-30% requiring dilatation or further revision surgery. Constipation is a problem in 30-40%. Soiling and poor control of stools can be a problem in 30-40%. These problems are more in children with high anomaly and associated spinal problem. There can also be problems with urine control in children with associated spinal defects.
