Abstract
This malformation is the highest of all defects seen in male patients. Fortunately, it is not as common as the two previous defects. Recto-bladder neck fistula cases happen to have the highest frequency of associated defects, mainly urologic. This is the only malformation that requires not only a posterior sagittal approach but also a laparotomy or laparoscopy in order to separate the rectum from the bladder neck. Therefore, this malformation represents the ideal indication for a laparoscopic procedure. Important technical details of this procedure when done in an open fashion or laparoscopically are presented, in order to pull down a very highly located rectum, preserving its blood supply. This is all illustrated with artistic renditions, animations, and photographic material.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Peña A, Hong A (2000) Advances in the management of anorectal malformations. Am J Surg 180:370–376
Willital GH (1998) Endosurgical intrapuborectal reconstruction of high anorectal anomalies. Pediatr Endosurg Innov Tech 2:5–11
Georgeson KE, Inge TH, Albanese CT (2000) Laparoscopically assisted anorectal pull-through for high imperforate anus—a new technique. J Pediatr Surg 35:927–931
Yamataka A, Segawa O, Yoshida R (2001) Laparoscopic muscle electrostimulation during laparoscopy-assisted anorectal pull-through for high imperforate anus. J Pediatr Surg 36:1659–1661
Borzi PA, Mackay AJ, Lander MM (2001) Laparoscopic assisted abdominoperineal pullthrough for anorectal agenesis (LAAP)—early experience. Pediatr Endosurg Innov Tech 5:73
Takehara H, Tashiro S, Ishibashi H (2001) Laparoscopic surgery for congenital colorectal disease in children. Pediatr Endosurg Innov Tech 2001:5
Behamou EM (2001) Anorectal malformation: treatment by laparoscopy. Pediatr Endosurg Innov Tech 5:209–213
Yamataka A, Yoshida R, Kobayashi H (2002) Intraoperative endosonography enhances laparoscopy-assisted colon pull-through for high imperforate anus. J Pediatr Surg 37:1657–1660
Sydorak RM, Albanese CT (2002) Laparoscopic repair of high imperforate anus. Semin Pediatr Surg 11:217–225
Iwanaka T, Arai M, Kawashima H (2003) Findings of pelvic musculature and efficacy of laparoscopic muscle stimulator in laparoscopy-assisted anorectal pull-through for high imperforate anus. Surg Endosc 17:278–281
Raghupathy RK, Moorthy PK, Rajamni G (2003) Laparoscopically assisted anorectoplasty for high ARM. J Indian Assoc Pediatr Surg 17:278–281
Kudou S, Iwanaka T, Kawashima H (2005) Midterm follow-up study of high-type imperforate anus after laparoscopically assisted anorectoplasty. J Pediatr Surg 40:1923–1926
Kubota A, Kawahara H, Okuyama H (2005) Laparoscopically assisted anorectoplasty using perineal ultrasonographic guide. A preliminary report. J Pediatr Surg 40:1535–1538
Lima M, Tursini S, Ruggeri G (2006) Laparoscopically assisted anorectal pull-through for high imperforate anus: three years’ experience. J Laparoendosc Adv Surg Tech 16:63–66
Hakguder G, Ates O, Caglar M (2006) A unique opportunity for the operative treatment of high anorectal malformations: laparoscopy. Eur J Pediatr Surg 16:449–455
Lima M, Antonellini C, Ruggeri G (2006) Laparoscopic surgical treatment of anorectal malformations. Pediatr Med Chir 28:79–82
Vick LR, Gosche JR, Boulanger SC (2007) Primary laparoscopic repair of high imperforate anus in neonatal males. J Pediatr Surg 42:1877–1881
Georgeson K (2007) Laparoscopic-assisted anorectal pull-through. Semin Pediatr Surg 16:266–269
Liem NT, Hien PD (2007) Laparoscopic and transanal approach for rectal atresia: a novel alternative. J Pediatr Surg 42:E25–E27
Lopez M, Kalfa N, Allal H (2007) Anorectal malformation (ARM) with bladder fistula: advantages of a laparoscopic approach. Eur J Pediatr Surg. doi:10.1055/s-2007-965507
Srimurthy KR, Ramesh S, Shankar G (2008) Technical modifications of laparoscopically assisted anorectal pull-through for anorectal malformations. J Laparoendosc Adv Surg Tech 18:340–343
Ichijo C, Kaneyama K, Hayashi Y (2008) Midterm postoperative clinicoradiologic analysis of surgery for high/intermediate-type imperforate anus: prospective comparative study between laparoscopy-assisted and posterior sagittal anorectoplasty. J Pediatr Surg 43:158–163
Grapin-Dagorno C, Fayad F (2008) Surgical treatment of high-type imperforate anus: role of laparoscopy. Bull Acad Natl Med 192:913–918
Ramanujam TM, Yik YI, Shitasanan N (2008) Laparoscopically assisted anorectoplasty for high anorectal malformations—a modified technique. Presented at the 15th Annual Meeting of the International Pediatric Colorectal Club. Salamanca, Spain, June 2008
El-Debeiky MS, Safan HA, Shafei IA (2009) Long-term functional evaluation of fecal continence after laparoscopic-assisted pull-through for high anorectal malformations. J Laparoendosc Adv Surg Tech 19:S51–S54
Hay SA (2009) Transperineal rectovesical fistula ligation in laparoscopic assisted abdominoperineal pull-through for high anorectal malformations. J Laparoendosc Adv Surg Tech 19:S77–S79
Rollins MD, Downey EC, Meyers RL (2009) Division of the fistula in laparoscopic-assisted repair of anorectal malformations—are clips or ties necessary? J Pediatr Surg 44:298–301
Podevin G, Petit T, Mure PY (2009) Minimally invasive surgery for anorectal malformations in boys. A multicentric study. J Laparoendosc Adv Surg Tech 19:S233–S235
Yamataka A, Kato Y, Lee KD (2009) Endoscopy-assisted laparoscopic excision of rectourethral fistula in a male with imperforate anus. J Laparoendosc Adv Surg Tech 19:S241–S243
Bischoff A, Levitt MA, Dickie B (2009) Technical challenges of the laparoscopic approach for patients with anorectal malformation and rectobladderneck fistula. J Laparoendosc Adv Surg Tech 19:264–291
Al-Hozaim O, Al-Maary J, AlQahtani A (2010) Laparoscopic-assisted anorectal pull-through for anorectal malformations: a systematic review and the need for standardization of outcome reporting. J Pediatr Surg 45:1500–1504
Author information
Authors and Affiliations
11.1 Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Spectrum of anorectal malformation. The higher the location of the fistula, the more limited pelvic space (WMV 10016 kb)
Distal colostogram in a case of recto-bladder neck fistula (WMV 11617 kb)
Surgical repair of recto-bladder neck fistula (WMV 22080 kb)
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Peña, A., Bischoff, A. (2015). Recto-bladder Neck Fistula. In: Surgical Treatment of Colorectal Problems in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-14989-9_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-14989-9_11
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-14988-2
Online ISBN: 978-3-319-14989-9
eBook Packages: MedicineMedicine (R0)