PURPOSE: PURPOSE:A case of an adult patient with the anorectal malformation of a rectovestibular fistula successfully repaired by performing a posterior sagittal anorectoplasty is reported. This case should increase the awareness of both primary and secondary anorectal malformations in the adult patient.
METHODS: METHODS:Management and outcome of an adult patient who presented with a rectovaginal fistula and underwent primary operative correction of her anorectal malformation using posterior sagittal anorectoplasty is reviewed.
RESULTS: RESULTS:Total continence was achieved in an adult patient undergoing primary repair of a rectovaginal fistula using posterior sagittal anorectoplasty.
CONCLUSION: CONCLUSION:Posterior sagittal anorectoplasty can be successfully performed in the adult patient for a primary repair of anorectal malformations. This operation should be considered in patients who have undergone another prior operative procedure with less than optimum function and now desire a secondary corrective procedure.
Presented at the meeting of the Washington State Chapter, American College of Surgeons, Coeur d' alene, Idaho, June 18 to 21, 1995.
The opinions and assertions contained here are the private views of the authors and are not to be construed as reflecting the views of the Department of the Army or the Department of Defense.
© The ASCRS 1997