Rectal Reconstruction During Posterior Sagittal Anorectovagino-Urethroplasty / PSARVUP
Colorectal surgeons at Cincinnati Children's Hospital Medical Center provides information about rectal reconstruction in Posterior Sagittal Anorectovagino-Urethroplasty / PSARVUP.
The rectum must be passed in front of the levator as described previously with other defects, and should be lying within the limits of the muscle complex and external sphincter.
The levator sutures must be placed passing the rectum in front of it, and the posterior edge of the muscle complex must be sutured together taking part of the rectal wall with the same stitches.
The anoplasty is done with 16 long-term absorbable sutures, beginning by the cardinal stitches, as previously described.
Rectum Anchored | 
Anoplasty | 
Completed Repair
(This figure shows a completely repaired defect of a rather typical cloaca.) |
For more information or to request an appointment, please contact the Colorectal Center at Cincinnati Children's.
