In our patients with high AM (absent externaI
sphincter), we did not observed the r~cto-sphincteric reflex
pre- or post-BFB.8
We used BFB in 14 patients after PSARP for anorectal
malformations, divided into the foIlowing 4 groups:
1. Four partiaIly continent patients after PSARP
used as primary surgery for treatment of AM.
2. Six incontinent patients after PSARP used as
primary surgery for treatment of AM.
3. Three partiaIly continent patients after PSARP
used as a secondary surgery for treatment of
fecal incontinence.
4. One incontinent patient after PSARP used as
secondary surgery for fecal incontinence
treatment.