FEATURES OF CLINICAL AND ANATOMICAL MANIFESTATIONS OF ANORECTAL MALFORMATIONS IN BOYS: FREQUENCY ANALYSIS

The study analyzes the frequency, clinical, and anatomical characteristics of anorectal malformations (ARM) in boys based on 246 clinical cases treated at the Department of Pediatric Surgery, Tashkent Pediatric Medical Institute. The research highlights the predominance of fistulous forms (62.4%) among all ARM types, with rectoperineal and rectourethral fistulas being the most common. Non-fistulous variants such as anal membrane and anorectal agenesis without fistula were primarily diagnosed during the neonatal period. Diagnostic algorithms included clinical examination, radiography, ultrasonography, and contrast studies in accordance with the Krickenbeck classification (2005). Rare regional forms, including rectoscrotal and H-type rectourethral fistulas, were observed in 10.6% of cases. Associated anomalies were detected in 63% of patients, most frequently involving the cardiovascular and urinary tract systems. The results emphasize the importance of comprehensive diagnostic approaches for identifying complex and atypical forms of ARM to optimize surgical planning and postoperative outcomes.