{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T08:05:55Z","timestamp":1792137955721,"version":"4.4.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Laparoscopic anorectoplasty (LAARP) is useful for the management of rectoprostatic urethral fistula (RPUF), due to easier rectal mobilization, avoidance of posterior sagittal muscular incision, and shorter hospital stay. However, its role in rectobulbar urethral fistula (RBUF) is still debated as there is a chance of urethral diverticulum (UD), due to incomplete dissection. Laparoscopy-assisted modified posterior sagittal anorectoplasty (LAMPSARP) utilizes advantages of LAARP combined with fistula dissection using small sagittal incision preserving puborectalis. The present study compares the results of LAMPSARP with LAARP for correction of RBUF associated with anorectal malformations (ARMs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>All male ARM with RBUF presenting in a tertiary center in Central India (January 2014\u2013January 2016) were included. Low male ARM, RPUF, rectovesical fistula, and congenital pouch colon were excluded. They were randomized into LAARP and LAMPSARP groups. Complications were assessed in terms of anal stenosis, mucosal prolapse, and UD. Kelly's scoring and Krickenbeck scoring were used to assess continence, and visible anal cosmesis scale (VACS) was used to assess wanal cosmesis. Results were statistically analyzed using a comparison of means and 2 \u00d7 2 contingency tables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Fifty-six colostomized patients with RBUF (26 LAARP, 30 LAMPSARP) were included. Mean operative duration in the LAARP group and LAMPSARP group was 42 \u00b1 10 min and 56 \u00b1 12 min, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001). On mean follow-up of 4.5 years, mucosal prolapse (53.9%) and UD (15.38%) were significantly higher in LAARP group, while anal stenosis was similar. All three, Kelly's score, Krickenbeck score, and VACS, were better (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05) in the LAMPSARP group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laparoscopy-assisted modified posterior sagittal approach is better for RBUF and offers better surgical outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_376_20","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T10:16:51Z","timestamp":1716545811000},"page":"216-222","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic-Assisted Modified Posterior Sagittal Anorectoplasty for Rectobulbar Urethral Fistula of Anorectal Malformation"],"prefix":"10.4103","volume":"27","author":[{"given":"Vikesh","family":"Agrawal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nguyen Thanh","family":"Li\u00eam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himanshu","family":"Acharya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhananjaya","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-17-20240905","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1053\/jpsu.2000.6925","article-title":"Laparoscopically assisted anorectal pull-through for high imperforate anus \u2013 A new technique","volume":"35","author":"Georgeson","year":"2000","journal-title":"J Pediatr Surg"},{"key":"R2-17-20240905","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.jpedsurg.2012.08.001","article-title":"Experience with laparoscopic-assisted anorectal pull-through in 25 males with anorectal malformation and rectourethral or rectovesical fistulae: Postoperative complications and functional results","volume":"48","author":"Jung","year":"2013","journal-title":"J Pediatr Surg"},{"key":"R3-17-20240905","first-page":"297","article-title":"Urethral diverticulum after laparoscopically-assisted anorectal pull-through (LAARP) for anorectal malformation: Is resection of the diverticulum always necessary?","volume":"63","author":"L\u00f3pez","year":"2010","journal-title":"Arch Esp Urol"},{"key":"R4-17-20240905","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/j.jpedsurg.2008.10.056","article-title":"Residual fistula after laparoscopically assisted anorectoplasty: Is it a rare problem?","volume":"44","author":"Uchida","year":"2009","journal-title":"J Pediatr Surg"},{"key":"R5-17-20240905","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1016\/j.jpedsurg.2013.03.007","article-title":"Combined laparoscopic and modified posterior sagittal approach saving the external sphincter for rectourethral fistula: An easier and more physiologic approach","volume":"48","author":"Liem","year":"2013","journal-title":"J Pediatr Surg"},{"key":"R6-17-20240905","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.jpedsurg.2010.08.007","article-title":"Outcome of males with high anorectal malformations treated with laparoscopic-assisted anorectal pull-through: Preliminary results of a comparative study with the open approach in a single institution","volume":"46","author":"Bailez","year":"2011","journal-title":"J Pediatr Surg"},{"key":"R7-17-20240905","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1089\/lap.2006.16.63","article-title":"Laparoscopically assisted anorectal pull-through for high imperforate anus: Three years\u2019 experience","volume":"16","author":"Lima","year":"2006","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"R9-17-20240905","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1007\/s00383-018-4323-4","article-title":"Long-term outcomes and complications after laparoscopic-assisted anorectoplasty vs.posterior sagittal anorectoplasty for high-and intermediate-type anorectal malformation","volume":"34","author":"Tainaka","year":"2018","journal-title":"Pediatr Surg Int"},{"key":"R10-17-20240905","doi-asserted-by":"crossref","first-page":"1994","DOI":"10.1016\/j.jpedsurg.2017.08.042","article-title":"Is measuring the residual rectourethral fistula during laparoscopically assisted anorectal pull-through for male high\/intermediate type imperforate anus beneficial? Mid-term follow-up","volume":"52","author":"Koga","year":"2017","journal-title":"J Pediatr Surg"},{"key":"R11-17-20240905","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1007\/s00383-004-1265-9","article-title":"Posterior urethral diverticulum after laparoscopic-assisted repair of high-type anorectal malformation in a male patient: Surgical treatment and prevention","volume":"21","author":"Koga","year":"2005","journal-title":"Pediatr Surg Int"},{"key":"R12-17-20240905","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/1471-2482-7-20","article-title":"Sphincter saving anorectoplasty (SSARP) for the reconstruction of Anorectal malformations","volume":"7","author":"Pratap","year":"2007","journal-title":"BMC Surg"},{"key":"R13-17-20240905","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/j.jpedsurg.2015.01.003","article-title":"One stage operation through modified posterior sagittal approach preserving the sphincter intact for anal agenesis with rectovestibular fistula","volume":"50","author":"Liem","year":"2015","journal-title":"J Pediatr Surg"},{"key":"R14-17-20240905","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1007\/s00383-020-04748-3","article-title":"Postoperative \u201ccomplications\u201d following laparoscopic-assisted anorectoplasty: A systematic review","volume":"36","author":"Pathak","year":"2020","journal-title":"Pediatr Surg Int"},{"key":"R15-17-20240905","doi-asserted-by":"crossref","first-page":"e0170421","DOI":"10.1371\/journal.pone.0170421","article-title":"Laparoscopically assisted anorectal pull-through versus posterior sagittal anorectoplasty for high and intermediate anorectal malformations: A systematic review and meta-analysis","volume":"12","author":"Han","year":"2017","journal-title":"PLoS One"},{"key":"R16-17-20240905","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.1016\/j.jpedsurg.2019.02.006","article-title":"Diagnosis and management of a remnant of the original fistula (ROOF) in males following surgery for anorectal malformations","volume":"54","author":"Rentea","year":"2019","journal-title":"J Pediatr Surg"},{"key":"R17-17-20240905","doi-asserted-by":"crossref","first-page":"769","DOI":"10.7863\/jum.2004.23.6.769","article-title":"Sonographic diagnosis of urethral anomalies in infants: Value of perineal sonography","volume":"23","author":"Schoellnast","year":"2004","journal-title":"J Ultrasound Med"},{"key":"R18-17-20240905","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1016\/j.jpedsurg.2011.03.061","article-title":"Acquired posterior urethral diverticulum following surgery for anorectal malformations","volume":"46","author":"Alam","year":"2011","journal-title":"J Pediatr Surg"},{"key":"R19-17-20240905","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/S1055-8586(02)00022-7","article-title":"Reoperative surgery for anorectal anomalies","volume":"12","author":"Pe\u00f1a","year":"2003","journal-title":"Semin Pediatr Surg"},{"key":"R20-17-20240905","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1007\/s00383-016-3948-4","article-title":"Surgical management of recto-prostatic and recto-bulbar anorectal malformations","volume":"32","author":"Yazaki","year":"2016","journal-title":"Pediatr Surg Int"},{"key":"R21-17-20240905","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1016\/j.jpedsurg.2016.09.051","article-title":"Application of anchoring stitch prevents rectal prolapse in laparoscopic assisted anorectal pullthrough","volume":"51","author":"Leung","year":"2016","journal-title":"J Pediatr Surg"},{"key":"R22-17-20240905","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.jpag.2012.12.003","article-title":"Treatment of adults with unrecognized or inadequately repaired anorectal malformations: 17 cases of rectovestibular and rectoperineal fistulas","volume":"26","author":"de Blaauw","year":"2013","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"R23-17-20240905","doi-asserted-by":"crossref","first-page":"4326","DOI":"10.1007\/s00464-017-5483-3","article-title":"A novel laparoscopic technique for anorectal malformation with low recto-bulbar fistulae","volume":"31","author":"Diao","year":"2017","journal-title":"Surg Endosc"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.JIAPS_376_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:46:04Z","timestamp":1787769964000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.JIAPS_376_20"}},"subtitle":["A Prospective Study"],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_376_20","relation":{},"ISSN":["0971-9261"],"issn-type":[{"value":"0971-9261","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}