weekly_question 11/6/2023

[Admin]

You are asked to evaluate a 5 year-old boy in clinic who underwent a posterior sagittal anorectoplasty (PSARP) for a perineal fistula as an infant. The sacral ratio was 0.75 at birth. He experiences fecal soiling multiple times per day. On physical examination, he has a well-healed PSARP with no evidence of stricture or prolapse. Abdominal x-ray shows moderate fecal loading. You recommend the following treatment plan:

A Polyethylene glycol (Miralax)

B Senna

C Transrectal enemas

D Antegrade enemas

E Exam under anesthesia with sphincter mapping

[Admin]

correct answer
B Senna

[Ismailmohamed]

E

[Farid Elallaghi]

Senna

[Radwan suleiman abukarsh]

C

[Fabricio Aguilera]

A

[Admin]

correct answer
B Senna