In this report, our aim is to present the clinical characteristics, management, and treatment outcome of an adult patient with an anorectal malformation with a vestibular fistula that was successfully repaired by posterior sagittal anorectoplasty (PSARP) and to discuss the case in the light of the relevant literature.
Keywords: Anorectal malformation, colostomy, imperforate anus, posterior sagittal anorectoplasty, rectovestibular fistula
In 1982, De Vries and Pena described posterior sagittal anorectoplasty (PSARP) for the treatment of anorectal malformations (2, 3).
Posterior sagittal anorectoplasty for imperforate anus: a pre-liminary result.
Posterior sagittal anorectoplasty
(PSARP) with a neovagina creation using the distal end of rectum with vestibular opening was planned.
3-5) Different surgical techniques have been described for the correction of such anomalies including cutback procedure, anal transplantation, YV plasty and Posterior Sagittal Anorectoplasty (PSARP).
Similar practice with excellent results was observed by Menon and Rao from Chandigarh, India, in the management of vestibular fistula by primary posterior sagittal anorectoplasty.
The patient was a 14-year-old male with a history of high anorectal malformation and rectourethral fistula, first requiring a neonatal colostomy and then posterior sagittal anorectoplasty
The second stage involves definitive repair of the fistula and anorectal malformation along with tumor resection by posterior sagittal anorectoplasty
after three months of antibiotic therapy [3,5,10].
The definitive procedures done in these 32 children are posterior sagittal anorectoplasty
, abdomino-perineal pull through, anal transposition and abdominal posterior sagittal anorectoplasty