Abstract
Dear Editor: The VATER/VACTERL association is a rare condition of random co-occurrence of vertebral defects, anorectal malformations, cardiac defects, tracheaoesophageal fistula, renal anomalies and limb abnormalities [1]. Treatment of the anal atresia will usually consist of a direct postnatal doubleloop colostomy formation, followed later by a pull-through reconstructive operation and re-anastomosis of the colostomy. Long-term results for this operation show a normal bowel function in less than half of the patients, with constipation and soiling as main complaints [2]. Sacral nerve stimulation (SNS) is an effective treatment for patients suffering faecal incontinence, benefitting patients with sphincter lesions and incontinence due to neurological disorders also [3]. We report on the result of SNS in a patient suffering obstructive defecation and faecal incontinence related to VATER/VACTERL association, with (among other) imperforate anus and rectovaginal fistula at birth, treated by corrective surgical interventions at early age.
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