Two patients who presented with a unique anorectal malformation are described. They had what we have named rectourinary perineal fistula. The first patient had a more severe malformation, rectovesicoperineal fistula, and has been followed up for 28 years. The second, with a lesser malformation, rectourethroperineal fistula, has been followed up for 19 years.
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http://dx.doi.org/10.1016/j.jpedsurg.2005.06.009 | DOI Listing |
J Indian Assoc Pediatr Surg
July 2024
Emeritus Professor of Surgery and Urology, University of Illinois, Chicago, Illinois, USA.
Context: Cloacal malformations are rare and are typically reported in females. There are a few scattered reports in males. It is not clear why they are so rare in males since both sexes negotiate this stage of embryonal development.
View Article and Find Full Text PDFFront Pediatr
August 2023
Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Purpose: Prone cross-table lateral x-ray (CTLxR) and colostogram aid surgical planning for anorectal malformations (ARMs) without perineal fistulas. We suggest objective imaging tools to classify ARMs.
Methods: Three observers prospectively evaluated CTLxR and colostograms of male ARM patients (2012-2022) without perineal fistulas.
BMC Pediatr
June 2021
Department of Pediatric Surgery, Skåne University Hospital, Lasarettsgatan 48, S-221 85, Lund, Sweden.
Background: Surgical safety during posterior sagittal anorectal plasty (PSARP) for anorectal malformations (ARM) depends on accurate pre-operative fistula localization. This study aimed to evaluate accuracy of pre-operative fistula diagnostics.
Methods: Ethical approval was obtained.
Urol Int
February 2022
Laboratório de Investigação Médica-Urologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Introduction: Transposition of the gracilis has been used in a large number of reconstructive procedures. Its advantage is its proximity to these defects and a good blood supply. Traditionally, the gracilis mobilization is performed by open surgery with one or more incisions.
View Article and Find Full Text PDFJ Laparoendosc Adv Surg Tech A
June 2020
Division of Pediatric Surgery, Department of Surgery, Government NSCB Medical College, Jabalpur, India.
One-stage anorectoplasty provides maximum potential for "normal" defecation reflexes right at birth and avoids complications and problems of colostomy. One-stage laparoscopic anorectoplasty (OSLARP) for rectourinary fistula (RUF) is restricted by distended bowel obscuring the working space for laparoscopy. This study describes transperineal intracath meconiolysis and evacuation (TIME) technique for OSLARP in the treatment of RUF in neonates.
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