Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive Care2219-40612587-6554Eco-Vector3410.17816/psaic34SURGICAL CORRECTION OF FECAL INCONTINENCE IN GENITAL FISTULAS IN GIRLSShamsievA. M.a-shamsiev@mail.ruSaidovM. S.saidovmurodillo@gmail.comAipovR. R.rasuibek@hotmail.ruAtakulovD. O.gospitalbolaxir.km@mail.ruYusupovSh. A.66@mail.ruSamarkand State Medical University1506201442252930012017Copyright © 2014, Shamsiev A.M., Saidov M.S., Aipov R.R., Atakulov D.O., Yusupov S.A.2014Genital fistulas in girls with a completely developed anus (H-type fistulas, tubular duplication, terminal duplication of the alimentary tract) is one of the most complicated problems today due to the high frequency of complications. Since 1994 232 children with fecal incontinence of different etiology have been observed in Samarkand department of pediatric surgery. Out of them 28 girls with a completely developed anus and fecal incontinence due to genital fistulas were operated. All the children underwent a complex examination including X-ray examination (irrigography, cine defecography, lateral proctogrofistulography, etc.), abdominal and retroperitoneal ultrasound examination, functional methods of sphincter examination (anorectal manometry, rectoanal inhibitory reflex examination), fibrocolonoscopy and rheography, general blood, urine and feces analysis, neurohistochemical and histomorphological methods of examination. Analysis of the obtained data showed that anterior anorectal plasty with fistular extirpation and pull-through of the anterior wall of the rectum is, in our opinion, the most pathogenetically substantiated intervention that can obtain the best clinical results.аноректальные свищинедержание калаанаректопластикаanorectal fistulasfecal incontinenceanorectal plasty[Армантаев К.С., Ахбаров Н.Н. Атлас анаректальных мальфармаций у детей. - Астана, 2011. С. 10-25.][Ленюшкин А.И. Хирургическая колопроктология детского возраста. - M.: Медицина, 1999. - 365с.][Chatteijee S.K., Talukder B.C. Double termination of the alimentary tract - a second look // J. Pediatr. Surg. 2006. Vol. 15. Р. 623-627.][Kulshrestha S., Kulshreshtha M. et al. Management of congenital and aquired H-type anorectal fistulae in girls by anterior sagittal anorectovaginoplasty // J. Pediatr. Surg. 2004. Vol. 33. Р. 1224-1228.][Rintala R.J., Mildh L. H-type Anorectal Malformations: Incidence and Clinical Characteristics // J. Pediatr. Surg. 2009. Vol. 31. Р. 559-562.]