Anorectal Malformation with Rectoperineal Fistula in Females Treated with a Posterior Rectal Advancement Anoplasty: Report of Early Outcomes
Topic overview
This study reports early outcomes of posterior rectal advancement anoplasty (PRAA) in 12 female infants with rectoperineal fistulas, demonstrating zero major complications and rapid recovery without need for colostomy. The technique preserves the anal sphincter complex while eliminating risks of vaginal injury and wound dehiscence, with all patients discharged within 24 hours.
Key takeaways
- PRAA eliminates vaginal injury and perineal dehiscence risk in females with rectoperineal fistulas within the anterior sphincter complex
- All 12 patients resumed feeding immediately and were discharged on postoperative day 1 without major complications
- No cases of vaginal injury, wound dehiscence, rectal prolapse, or anal stricture observed in early follow-up
- PRAA can be performed without diverting colostomy in select patients with appropriately positioned fistulas
- 75% of patients required daily laxatives at median 5-month follow-up; all stooling spontaneously
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How to cite: GlobalCastMD. Anorectal Malformation with Rectoperineal Fistula in Females Treated with a Posterior Rectal Advancement Anoplasty: Report of Early Outcomes. GlobalCastMD Medical Library. 2026-01-06. https://library.globalcastmd.com/article/11391
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