Posterior Sagittal Approach for Nonanorectal Malformation: Widening Spectrum.

BACKGROUND

Posterior sagittal is a very well accepted approach in the treatment of anorectal malformations. This approach provides good access and exposure through the perineum to the deep pelvic structures. It reduces risk of injury to important structures as dissection remains in midline.

AIMS AND

OBJECTIVES

To access feasibility of posterior sagittal approach for non-anorectal malformation indications and to widen the spectrum.

MATERIAL AND

METHODS

We present a series of 10 cases of non-anorectal malformations operated by this approach for 4 years.

RESULTS

Six patients included in the study were of Disorders of Sexual Differentiation with pseudovagina, three of Y duplication of the urethra, and one of cervical atresia. All patients had good results.

CONCLUSION

Posterior sagittal approach is feasible, safe with minimal bleeding, and no postoperative incontinence. It can safely be used for non-anorectal indications.