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Recto-bladder Neck Fistula

  • Chapter
Surgical Treatment of Colorectal Problems in Children

Abstract

This malformation is the highest of all defects seen in male patients. Fortunately, it is not as common as the two previous defects. Recto-bladder neck fistula cases happen to have the highest frequency of associated defects, mainly urologic. This is the only malformation that requires not only a posterior sagittal approach but also a laparotomy or laparoscopy in order to separate the rectum from the bladder neck. Therefore, this malformation represents the ideal indication for a laparoscopic procedure. Important technical details of this procedure when done in an open fashion or laparoscopically are presented, in order to pull down a very highly located rectum, preserving its blood supply. This is all illustrated with artistic renditions, animations, and photographic material.

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Authors and Affiliations

  1. Pediatric Surgery, Colorectal Center for Children Cincinnati Children’s Hospital, Cincinnati, OH, USA

    Alberto Peña & Andrea Bischoff

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  1. Alberto Peña
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  2. Andrea Bischoff
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11.1 Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Spectrum of anorectal malformation. The higher the location of the fistula, the more limited pelvic space (WMV 10016 kb)

Distal colostogram in a case of recto-bladder neck fistula (WMV 11617 kb)

Surgical repair of recto-bladder neck fistula (WMV 22080 kb)

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© 2015 Springer International Publishing Switzerland

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Peña, A., Bischoff, A. (2015). Recto-bladder Neck Fistula. In: Surgical Treatment of Colorectal Problems in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-14989-9_11

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  • DOI: https://doi.org/10.1007/978-3-319-14989-9_11

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14988-2

  • Online ISBN: 978-3-319-14989-9

  • eBook Packages: MedicineMedicine (R0)

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