{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T16:39:20Z","timestamp":1782491960965,"version":"3.54.5"},"reference-count":6,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,21]],"date-time":"2021-03-21T00:00:00Z","timestamp":1616284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Laparoscopically assisted anorectoplasty (LAARP) for recto\u2010bulbar urethral fistula (RBUF) is not now a standard operation due to urethra injury risk and incomplete removal of fistula. Our approach is a novel and secure technique of trans\u2010perineal transection using a 5\u2010mm stapler for RBUF. Before performing LAARP, the orifice of RBUF was confirmed under flexible cystoscope inspection. Before transection of RBUF, the center of the muscle complex was detected at perineal skin. The muscle complex and the pubo\u2010rectal sling were then also confirmed with electrical nerve stimulator under laparoscopic approach. A 5\u2010mm trocar was inserted to pass through the center of the muscle complex from perineal incision of the neo\u2010anus. RBUF was stapled and transected using a 5\u2010mm stapler inserted from the neo\u2010anus. The operator successfully confirmed complete adequate closure of RBUF under flexible cystoscope inspection. A 5\u2010mm stapler was effective and useful for the transection of RBUF.<\/jats:p>","DOI":"10.1111\/ases.12934","type":"journal-article","created":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T06:51:15Z","timestamp":1616395875000},"page":"828-830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Trans\u2010perineal transection through \u201c<scp>Neo\u2010Anus<\/scp>\u201d for recto\u2010bulbar urethral fistula using a 5\u2010mm stapler in laparoscopically assisted anorectoplasty \u2010 A novel and secure technique"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1250-093X","authenticated-orcid":false,"given":"Satoshi","family":"Ieiri","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University  Kagoshima 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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9247-4216","authenticated-orcid":false,"given":"Masakazu","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University  Kagoshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuru","family":"Muto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University  Kagoshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuru","family":"Kaji","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima 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