Transanal fistula repair for the treatment of rectovestibular fistula with normal anus in female children: a 5-year single-center experience
Topic overview
Five-year retrospective study of 56 female pediatric patients with rectovestibular fistula and normal anus treated via transanal repair. The technique demonstrated high success rates with minimal complications, three recurrences, and excellent long-term functional outcomes including preserved continence and normal anal appearance.
Key takeaways
- Transanal fistula repair is effective for rectovestibular fistula with normal anus in female children (56 cases, ages 1.8-15.9 years).
- Success rate is high with minimal complications: 3 cases had minor secretions (resolved with sitz baths), 3 had recurrence (2 successfully repaired).
- Long-term outcomes are excellent: no fecal incontinence, anorectal stenosis, or chronic infection in follow-up (average 19 months).
- Procedure preserves normal anal anatomy and function while eliminating vestibular fecal leakage in this specific anorectal malformation variant.
- Transanal approach offers a less invasive alternative to traditional posterior sagittal repair for this anatomic subtype.
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How to cite: GlobalCastMD. Transanal fistula repair for the treatment of rectovestibular fistula with normal anus in female children: a 5-year single-center experience. GlobalCastMD Medical Library. 2024-03-08. https://dev.library.globalcastmd.com/article/8408?via_space=staycurrentmd
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