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Recto-bladder Neck Fistula

  • Alberto Peña
  • Andrea Bischoff

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.

Keywords

Bladder Neck Vesicoureteral Reflux Anorectal Malformation Distal Rectum Urinary Control 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Animation 11.1

Spectrum of anorectal malformation. The higher the location of the fistula, the more limited pelvic space (WMV 10016 kb)

Animation 11.2

Distal colostogram in a case of recto-bladder neck fistula (WMV 11617 kb)

Animation 11.3

Surgical repair of recto-bladder neck fistula (WMV 22080 kb)

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Alberto Peña
    • 1
  • Andrea Bischoff
    • 1
  1. 1.Pediatric SurgeryColorectal Center for Children Cincinnati Children’s HospitalCincinnatiUSA

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