Nonclosure of rectourethral fistula during posterior sagittal anorectoplasty: Our experience.

Abstract

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.

• Authors: Sudhakar Jadhav, Amit Raut, Jui Mandke, Santosh Patil, Ravindra Vora, Dinesh Kittur
• Journal: Journal of Indian Association of Pediatric Surgeons (J Indian Assoc Pediatr Surg) Vol. 18 Issue 1 Pg. 5-6 (Jan 2013) ISSN: 0971-9261 [Print] India
• PMID: 23599574 (Publication Type: Journal Article)