Paulino Martínez Hernández-Magro, Néstor Martínez Salcedo and Néstor Martínez Hernández-Magro
Anorectal malformations occur in 1 in 5,000 births. Some patients persist until adulthood with the problem; however, due its infrequent presentation in adult patients, colorectal surgeons in general are not familiar with this condition, therefore these patients are commonly advised to have a permanent stoma. The posterior sagittal anorectoplasty (PSAR) has become a proven and standard technique for operative correction of anorectal malformations in childhood and many pelvic conditions and must be part of the colorectal surgeon armamentarium as it is also an effective technique in adults.
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