Abstract
Eighteen patients with surgically corrected high (supralevator) anorectal anomalies were scanned by computerised tomography (CT) to assess the state of development of the anorectal sphincter muscle complex (SMC) and the position of the neorectum in relation to the SMC. These CT findings were compared with the patients' assessed grade of faecal continence/incontinence. While continence levels did not always correlate closely with CT findings, the presence of a deficient SMC or an eccentric position of the neorectum within it, or both, was more frequent in patients with continence problems. For severe incontinence, CT scanning gave helpful indications for or against secondary rectoplasty.
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