RECTO-URETHRAL FISTULAS IN THE STRUCTURE OF ANORECTAL MALFORMATIONS IN BOYS

Abstract

Aim. To determine the frequency, clinical-anatomical features, and diagnosis of recto-urethral fistulas in boys. Materials and methods. 246 boys with various forms of ARM participated in the study. 51 (20.7%) patients had recto-urethral fistulas (recto-prostatic - 29, recto-bulbar - 22), 1 (0.4%) patient had recto-bulbar fistula with a normally formed anus. General clinical, x-ray, and other special examination methods were conducted. Research and discussion. In some patients, the fistula remains undetermined before and during the operation. A comprehensive examination allows not only identifying the fistula but also to clarify its anatomical type, localization, get an idea of changes in the urethra, distal intestines, and determine the nature of the associated pathology. Conclusion. The data indicate that in most cases, the examination of newborns with ARM allows us to establish the type of anomaly and decide on a tactical approach that correlates with those presented in the literature. An exception is a recto-urethral fistula, which is difficult not only at the stage of diagnosis but also during surgery.