Rectobladder Neck Fistula in Males
Rectobladder neck fistula is the highest defect in male patients.
The rectum communicates with the bladder neck, and the sacrum is usually abnormal. This indicates the existence of a serious nerve deficiency that translates into a poor prognosis for future bowel control.
Children with this defect sometimes experience urinary incontinence.
The definitive repair in these cases is generally performed in the first year of life on an elective basis and includes a Posterior Sagittal Anorectoplasty / PSARP plus a laparotomy to mobilize a rectum that cannot be reached from below.
Fortunately, this defect represents only approximately 10% of all the male cases.
For more information or to request an appointment, please contact the Colorectal Center at Cincinnati Children's.
