Vol. 3, Issue 4, Part B (2019)

Results: Of the 90 patients with anorectal malfonnation, 52(57.78%) were male and 38 (42.22%) were female. Ultra sonogram of abdomen was normal in 51 (56.67%o) patients and abnormal in 29 patients (32.22%). High anorectal anomalies are most commonly associated with urological and genital anomalies. Of the 52 male patients 26(50%>) had urological and 10 (19.23%>) of them had genital anomalies. 22 of 90 (24.44%) patients had vesicoureteric reflux which the most common urologic anomalies. 6 (6.67%) of the 90 patients had hypospadias which is commonest among other genital anomalies. As both urologic and genital anomalies are more commonly observed in males there is a sexual preponderance. Hypospadias is the most common genital anomaly associated with anorectal malformations. VCUG when performed in all cases of anorectal malformations detected vesicoureteric reflux in 25cases out of which 10 were normal on Ultrasound. Early detection and management of these anomalies dictates the overall prognosis of a child with anorectal malformation.

Conclusion: In the present study we conclude all cases of anorectal malformations should undergo VCUG to detect urological anomalies which may go unnoticed on USG. Patients with urogenital anomalies require careful assessment and timely intervention for better out come.