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Table 2 Diagnostic accuracy of pre- and peri-operative examinations for fistula presence in boys born with ARM with final classification during PSARP. n = numbers, (%) = percent

From: Accuracy of pre-operative fistula diagnostics in anorectal malformations

 

Fistulaa

n = 31

No fistula

n = 7

Diagnostic accuracyb

Symptoms

14 (45)

0

21/38 (55)

 Stool colored urine

8 (26)

-

 

 UTI

5 (16)

-

 

 Urine in colostomy

5 (16)

-

 

VCUG

29

7

23/36 (64)

Visible fistula

16 (55)

0

 

Colostogram

28

7

25/35 (71)

Visible fistula

18 (64)

0

 

Cystoscopy

19

1

14/20 (70)

Visible fistula

13 (68)

0

 

Ostomy endoscopy

19

5

22/24 (92)

Visible fistula

17 (89)

0

 

 Guide wire used

11 (58)

-

 
  1. Values presented as the absolute number and percentage of patients, n (%)
  2. ARM anorectal malformations, PSARP posterior sagittal anorectal plasty, UTI urinary tract infection, VCUG voiding cystourethrogram
  3. aRecto-bulbar fistula n = 8, recto-prostatic fistula n = 17, and recto-bladder neck fistula n = 6
  4. bDiagnostic accuracy (%) = (true positive cases + true negative cases) / all evaluated cases