Rectourethral Bulbar Fistula

  • Alberto Peña
  • Andrea Bischoff


The fundamental steps of the procedure called posterior sagittal anorectoplasty are described in this particular chapter. Rectourethral bulbar fistula in males is the most common malformation seen in male patients. It has generally a good functional prognosis, and therefore, this chapter includes the most detailed and graphic description of the key steps of the posterior sagittal surgical technique. The chapter is illustrated with artistic renditions as well as intraoperative photographs and animations to facilitate the understanding of this procedure.


Rectal Wall Foley Catheter Anorectal Malformation Levator Muscle Urethral Diverticulum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Animation 9.1

Posterior urethral diverticulum (WMV 19552 kb)

Animation 9.2

Sagittal view of the surgical repair in case of rectourethral bulbar fistula (WMV 19392 kb)

Animation 9.3

Posterior view of the surgical repair in a case of rectourethral bulbar fistula (WMV 110303 kb)

Animation 9.4

Distal colostogram (WMV 10656 kb)


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Alberto Peña
    • 1
  • Andrea Bischoff
    • 1
  1. 1.Pediatric SurgeryColorectal Center for Children Cincinnati Children’s HospitalCincinnatiUSA

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