DIAGNOSIS AND SURGICAL MANAGEMENT OF ANTERIOR ECTOPY OF THE ANUS IN GIRLS

Anterior ectopy of the anus (AEA) is a congenital anomaly predominantly affecting girls, characterized by anterior displacement of an otherwise normally functioning anus. Diagnosis is frequently delayed due to absent functional disturbances in early childhood. This study aimed to evaluate surgical outcomes and optimize management strategies for AEA in girls. A retrospective analysis of 20 girls surgically treated over a 10-year period was conducted. The anococcygeal index (ACI) was used for diagnosis. Three surgical techniques were employed: Stone’s anoplasty (n=5), Rissoli’s levatorplasty (n=8), and modified Rissoli’s operation with posterior sagittal anoproctoplasty (n=7). Satisfactory anatomical restoration was achieved in all patients. The modified technique demonstrated superior outcomes in patients with concurrent coccygeal agenesis. Rehabilitation duration ranged from 6 months to 2 years. Early surgical correction of AEA is indicated, with technique selection guided by associated anomalies.