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Endoscopy-assisted laparoscopic excision of rectourethral fistula in a male with imperforate anus.
J Laparoendosc Adv Surg Tech A. 2009 Apr; 19 Suppl 1:S241-3.JL

Abstract

We report a surgical technique that we developed to facilitate complete excision of rectourethral fistula (RUF)in male patients with imperforate anus (IA). A 6-month-old boy with rectobulbar urethral fistula (bulbar-RUF)had laparoscopic repair of IA. During laparoscopic dissection of the RUF, a fine flexible endoscope was inserted into the rectum through an opening made in the anterior rectal wall. Endoscopy of the rectum allowed the level of laparoscopic dissection to be observed intraluminally, allowing the bulbar-RUF to be excised exactly at its distal end. He is well after follow-up of 9 months with no evidence of residual RUF on radiologic investigations.We have since used this technique to treat another IA patient with prostatic-RUF successfully.

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Authors+Show Affiliations

Yamataka A
Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan. yama@med.juntendo.ac.jp
Kato Y
No affiliation info available
Lee KD
No affiliation info available
Lane G
No affiliation info available
Kusafuka J
No affiliation info available
Okazaki T
No affiliation info available

MeSH

Anus, ImperforateEndoscopyHumansInfantLaparoscopyMaleRectal FistulaUrethral DiseasesUrinary Fistula

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18999979

Citation

Yamataka, Atsuyuki, et al. "Endoscopy-assisted Laparoscopic Excision of Rectourethral Fistula in a Male With Imperforate Anus." Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A, vol. 19 Suppl 1, 2009, pp. S241-3.
Yamataka A, Kato Y, Lee KD, et al. Endoscopy-assisted laparoscopic excision of rectourethral fistula in a male with imperforate anus. J Laparoendosc Adv Surg Tech A. 2009;19 Suppl 1:S241-3.
Yamataka, A., Kato, Y., Lee, K. D., Lane, G., Kusafuka, J., & Okazaki, T. (2009). Endoscopy-assisted laparoscopic excision of rectourethral fistula in a male with imperforate anus. Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A, 19 Suppl 1, S241-3. https://doi.org/10.1089/lap.2008.0144
Yamataka A, et al. Endoscopy-assisted Laparoscopic Excision of Rectourethral Fistula in a Male With Imperforate Anus. J Laparoendosc Adv Surg Tech A. 2009;19 Suppl 1:S241-3. PubMed PMID: 18999979.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopy-assisted laparoscopic excision of rectourethral fistula in a male with imperforate anus. AU - Yamataka,Atsuyuki, AU - Kato,Yoshifumi, AU - Lee,Kyeong Deok, AU - Lane,Geoffrey, AU - Kusafuka,Junichi, AU - Okazaki,Tadaharu, PY - 2008/11/13/pubmed PY - 2009/12/30/medline PY - 2008/11/13/entrez SP - S241 EP - 3 JF - Journal of laparoendoscopic & advanced surgical techniques. Part A JO - J Laparoendosc Adv Surg Tech A VL - 19 Suppl 1 N2 - We report a surgical technique that we developed to facilitate complete excision of rectourethral fistula (RUF)in male patients with imperforate anus (IA). A 6-month-old boy with rectobulbar urethral fistula (bulbar-RUF)had laparoscopic repair of IA. During laparoscopic dissection of the RUF, a fine flexible endoscope was inserted into the rectum through an opening made in the anterior rectal wall. Endoscopy of the rectum allowed the level of laparoscopic dissection to be observed intraluminally, allowing the bulbar-RUF to be excised exactly at its distal end. He is well after follow-up of 9 months with no evidence of residual RUF on radiologic investigations.We have since used this technique to treat another IA patient with prostatic-RUF successfully. SN - 1092-6429 UR - https://www.unboundmedicine.com/medline/citation/18999979/Endoscopy_assisted_laparoscopic_excision_of_rectourethral_fistula_in_a_male_with_imperforate_anus_ L2 - https://www.liebertpub.com/doi/10.1089/lap.2008.0144.supp?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -