Classification and clinical assessment of postoperative functions in anorectal anomalies

There were some problems in International Classification of Anorectal Anomalies. Recto-Urethral Fistula: The level of recto-urethral Fistule and that rectal pouch are different from case to case. Hypertrophied genital folds: this has no value in the diagnosis of low type. Recently the Japan Study Group of Anorectal Anomalies has proposed clinical score, which is based on four parameters, rectal sensation, continence, constipation and soiling. But this score has also some problems. We have proposed a new clinical assessment.