Related Experiment Video
Updated: May 12, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Nonclosure of rectourethral fistula during posterior sagittal anorectoplasty: Our experience
Sudhakar Jadhav1, Amit Raut, Jui Mandke
1SJKC Trust's Paed-Surgery Centre and P.G Institute, Sangli, Maharastra, India.
Aim:
To study the effect of nonclosure of rectourethral (RU) fistula and to do a comparative analysis of the complications with and without nonclosure of RU fistula during posterior sagittal anorectoplasty (PSARP) in anorectal malformation cases (ARM).
Materials And Methods:
A total of 68 cases of ARM were included in the study group, of which 34 cases were those in whom RU fistula was not closed (group A) during PSARP. Another 34 successive cases were included in study group B in whom the RU fistula was closed as is conventionally done by using interrupted sutures.
Results:
Comparatively, group A had none or minimum urological complications as compared to Group B.
Conclusion:
RU fistula closure is not mandatory during PSARP and nonclosure avoids urological complications. It especially avoids urethral complications, which are 100% preventable.
