[Place of endoscopy in anorectal malformations]

Miniaturised cystoscope allows exploration in neonates, but in males, it may be difficult and dangerous. Recto-urinary fistulae are generally recto-prostatic, seldom recto-bulbar. Recto-vesical cases were not observed. The fistulous orifice is quite always small and its form is round or ovoid. An anfranctuous and large orifice may be of iatrogenic origin. Endoscopic examination is mandatory when recto-urinary fistula is clinically or radiologically suspected and is always necessary before surgery of cloaca or secondary operation for ano-rectal malformations.