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Use of the recto-urethral fistula for reconstruction of the anal canal in high anal atresia.
Z Kinderchir. 1985 Oct; 40(5):312-4.ZK

Abstract

A 6-month-old boy with high anal atresia was operated upon via a sacro-perineal approach. After division of the rectourethral fistula, pressure recordings from the rectal part of the fistula during electrical stimulation of the rectal mucosa showed a resting pressure and relaxations resembling internal anal sphincter activity. The fistula was used for the reconstruction of the anal canal and anastomosed to the skin in the anal incision. The postoperative course was uneventful. Six weeks after the operation ano-rectal manometry showed a high resting anal pressure and normal internal sphincter relaxations. It is concluded that the presented surgical technique may provide a functioning internal sphincter in at least some patients with high anal atresia with recto-urethral fistula.

Authors

Frenckner B
No affiliation info available

MeSH

Anus, ImperforateColostomyFollow-Up StudiesHumansInfantInfant, NewbornMaleManometryPostoperative ComplicationsRectal FistulaRectumSurgical FlapsUrethraUrethral DiseasesUrinary Fistula

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

4072432

Citation

Frenckner, B. "Use of the Recto-urethral Fistula for Reconstruction of the Anal Canal in High Anal Atresia." Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood, vol. 40, no. 5, 1985, pp. 312-4.
Frenckner B. Use of the recto-urethral fistula for reconstruction of the anal canal in high anal atresia. Z Kinderchir. 1985;40(5):312-4.
Frenckner, B. (1985). Use of the recto-urethral fistula for reconstruction of the anal canal in high anal atresia. Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood, 40(5), 312-4.
Frenckner B. Use of the Recto-urethral Fistula for Reconstruction of the Anal Canal in High Anal Atresia. Z Kinderchir. 1985;40(5):312-4. PubMed PMID: 4072432.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of the recto-urethral fistula for reconstruction of the anal canal in high anal atresia. A1 - Frenckner,B, PY - 1985/10/1/pubmed PY - 1985/10/1/medline PY - 1985/10/1/entrez SP - 312 EP - 4 JF - Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood JO - Z Kinderchir VL - 40 IS - 5 N2 - A 6-month-old boy with high anal atresia was operated upon via a sacro-perineal approach. After division of the rectourethral fistula, pressure recordings from the rectal part of the fistula during electrical stimulation of the rectal mucosa showed a resting pressure and relaxations resembling internal anal sphincter activity. The fistula was used for the reconstruction of the anal canal and anastomosed to the skin in the anal incision. The postoperative course was uneventful. Six weeks after the operation ano-rectal manometry showed a high resting anal pressure and normal internal sphincter relaxations. It is concluded that the presented surgical technique may provide a functioning internal sphincter in at least some patients with high anal atresia with recto-urethral fistula. SN - 0174-3082 UR - https://www.unboundmedicine.com/medline/citation/4072432/Use_of_the_recto_urethral_fistula_for_reconstruction_of_the_anal_canal_in_high_anal_atresia_ DB - PRIME DP - Unbound Medicine ER -