{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:31:24Z","timestamp":1786728684638,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Since 2005, only one case of a male patient presenting with a congenital rectourethroperineal fistula was reported. It was classified as a rare regional variant of an H-type rectourethral fistula in Krickenbeck\u2019s anorectal malformations classification. A staged approach was used to manage the patient, including colostomy, anorectoplasty, and a hypospadias correction. We report a second case of a continent rectourethroperineal fistula with the rare association of an atretic bulbomembranous urethra. The patient underwent staged surgeries to separate the rectum and the urethra from the perineal fistula, reposition the neoanus, and anastomose the anterior-to-posterior urethral tracts. These resulted in fecal continence and successful voiding.<\/jats:p>","DOI":"10.4103\/aam.aam_269_24","type":"journal-article","created":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T23:00:08Z","timestamp":1740956408000},"page":"509-511","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Rectourethroperineal Fistula Associated with an Atretic Bulbomembranous Urethra: Successful Staged Management of a New Variant of an Extremely Rare Anorectal Malformation"],"prefix":"10.4103","volume":"24","author":[{"given":"Boniphace","family":"Tresphory","sequence":"first","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda, Makete, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Joseph","family":"Mombo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda, Makete, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Calisti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda, Makete, Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"1658","DOI":"10.1016\/j.jpedsurg.2005.06.009","article-title":"Rectourinary perineal fistula \u2013 A unique anomaly","volume":"40","author":"Chatterjee","year":"2005","journal-title":"J Pediatr Surg"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00383-016-3982-2","article-title":"Diversities of H-type anorectal malformation: A systematic review on a rare variant of the Krickenbeck classification","volume":"33","author":"Sharma","year":"2017","journal-title":"Pediatr Surg Int"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1055\/s-2008-1066067","article-title":"H-type urethrorectal communication and complete urethral stenosis with unilateral renal agenesis","volume":"4","author":"Rizalar","year":"1992","journal-title":"Eur J Pediatr Surg"},{"key":"R5-20260423","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/S0022-5347(17)58142-2","article-title":"The repair of a congenital H-type urethrorectal fistula using a scrotal flap urethroplasty","volume":"118","author":"Belman","year":"1977","journal-title":"J Urol"},{"key":"R7-20260423","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/S0022-5347(17)62761-7","article-title":"Congenital stricture of the proximal urethral bulb","volume":"99","author":"Cobb","year":"1968","journal-title":"J Urol"},{"key":"R9-20260423","first-page":"157","article-title":"Congenital bulbar urethral stenosis as a cause of diseases of the urogenital junction","volume":"11","author":"Moormann","year":"1972","journal-title":"Urologe A"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_269_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:30:27Z","timestamp":1786725027000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_269_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,3]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_269_24","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,3]]},"assertion":[{"value":"2024-12-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}