Rectourethroperineal Fistula Associated with an Atretic Bulbomembranous Urethra: Successful Staged Management of a New Variant of an Extremely Rare Anorectal Malformation.
Boniphace Tresphory, Andrea Joseph Mombo, Alessandro Calisti
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Abstract
Abstract: Since 2005, only one case of a male patient presenting with a congenital rectourethroperineal fistula was reported. It was classified as a rare regional variant of an H-type rectourethral fistula in Krickenbeck's anorectal malformations classification. A staged approach was used to manage the patient, including colostomy, anorectoplasty, and a hypospadias correction. We report a second case of a continent rectourethroperineal fistula with the rare association of an atretic bulbomembranous urethra. The patient underwent staged surgeries to separate the rectum and the urethra from the perineal fistula, reposition the neoanus, and anastomose the anterior-to-posterior urethral tracts. These resulted in fecal continence and successful voiding.
期刊介绍：
The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.
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