Fetal Recto-urethral fistula with High Anal Atresia скачать в хорошем качестве

Fetal Recto-urethral fistula with High Anal Atresia

Recto-urethral fistulas and recto-bladder neck fistulas are types of anorectal malformations (ARMs). A recto-urethral fistula is characterized by the abnormal connection of the urethra to either the anus or rectum. This results in both solid waste and urine emptying from the body through the urethra. A recto-bladder neck fistula, (rectovesical fistula); characterized by a connection between the rectum and the bladder, which can cause urine and feces to mix and empty out of the urethra. Both conditions are congenital, (meaning from birth) Treatment will first focus on diverting the feces away from the urethra to prevent infection and other complications. This is accomplished through the creation of a colostomy; which redirects the end of the large intestine through an opening in the abdominal wall. Second phase of treatment involves disconnecting the abnormal fistula from the urethra or bladder to the rectum, and then bringing the rectum down to a newly created anal opening precisely positioned within the sphincter muscle complex. After the second surgery, feces will continue to leave the body through the colostomy for the next six to eight weeks while the pull-through heals. Once the pull-through is healed, a third surgery will be performed to close the colostomy so that feces will pass through the new anus. This is being explained by Dr Ashutosh Gupta www.fetalandgeneticclinic.com