Patient: Examination and laboratory tests: May 20 in Wuhan Union Medical College Hospital to the director of the Tang Shao Tao examination said that the child’s anus opened wide, easy to manage. October 16 in Guangxi Medical University First Affiliated Hospital examination, the doctor said the child prepuce, and anal intestinal mucosa ectropion, but not serious (diameter of half a centimeter of intestinal mucosa meatballs), it is recommended to mucosal resection repair surgery and prepuce excision circumcision surgery combined together to do. Treatment: in recent times the stools are easily sugary thin, often take lactobacillus tablets History: the patient is male, 19 months old, suffering from congenital anal atresia, fistula on the second day of birth, fistula closure and open anus surgery was completed at the age of 4 months, and now the recovery is not good. Symptoms: 1, the stool can not be finished at once, the best case of a day’s stool is 2 hours and 2 hours after dinner in several times to finish the day’s amount, the worst case is an hour a little bit of row, row all day. 2.Farting sometimes leaks thin stools, often with intestinal fluid. 3, the anus has mucous membrane ectropion phenomenon. 4.October 16th check the penis has the phenomenon of circumcision. Should these two surgeries be done immediately or wait until the child is older, like 3 years old? Will the mucosal ectropion repair surgery improve the child’s fecal incontinence? How many days will it take before and after seeing my child for incontinence and having the surgery at Shandong No.2 Hospital? Thank you very much for your help! Li Jinliang, Pediatric Surgery Department, Second Hospital of Shandong University, Shandong Province, China: Now you should come to the hospital to do pelvic floor MR, anorectal manometry, barium enema or fecal imaging to determine the presence of anal sphincter dysplasia (manifested as fecal incontinence and mucosal ectasia), anorectal dysplasia and anus complicating the absence of colonic ganglion defects (megacolon) or ganglion dysplasia (both manifested as difficulty in defecation, pseudo fecal incontinence), and if the presence of two or three, you should do surgery successively to determine whether the child’s incontinence has improved. If 2 or 3 of these are present, transanal megacolonectomy, anorectal muscle reconstruction, and anal sphincter reconstruction are performed sequentially, with at least 3 months between each procedure, and each requires a 2-week hospitalization. If only one type is present hospitalize for one operation. In the absence of these problems simple excision of the ectopic mucosa with biofeedback training later. If anal stenosis perform an anoplasty.