BACKGROUND/PURPOSE: Rectourethral (RUF) or @entity3622 ( @entity3622 ) is a troublesome complication after anorectal surgery because of dense adhesions around the @entity292 . The authors applied a new technique for the redo surgery. METHODS: Case 1 is @entity1963 in a 1-year-old @entity1 who underwent modified Duhamel's procedure and had RUF. Case 2 is rectovestibular @entity292 in an 11-year-old @entity1 who had anterior sagittal anorectoplasty complicated by @entity3622 . Case 3 is multiple @entity790 including @entity292 in a 4-year-old @entity1 in whom transvesical repair was unsuccessful. The colon was mobilized as far as possible at laparotomy. The rectum was opened via a posterior sagittal approach leaving 1 cm of the anal canal. Extended endorectal mucosectomy was performed to the dentate line, and the @entity292 was closed from inside of the rectum. The remaining mucosal cuff was everted out of the anus and the intact colon was pulled through the rectum and anastomosed to the cuff extraanally. RESULTS: The postoperative contrast enema showed no recurrent @entity292 , and defecation was not impaired. CONCLUSIONS: Endorectal pull-through of the intact colon can spare troublesome mobilization of the @entity292 and can prevent the recurrence of @entity292 . Rectal incision via a posterior sagittal approach provides a direct view of the @entity292 .

Endorectal pull-through with posterior sagittal approach to the repair of postoperative rectourethral and XXXX .

@entity1 :: ('9606', 'Species') :: ['girl', 'boy'] @entity1963 :: ('MESH:D006627', 'Disease') :: ["Hirschsprung's disease"] @entity3622 :: ('MESH:D012006', 'Disease') :: ['rectovaginal fistula', 'RVF'] @entity292 :: ('MESH:D005402', 'Disease') :: ['rectovesical fistula', 'fistula'] @entity790 :: ('MESH:D014564', 'Disease') :: ['urogenital anomalies']
@entity3622 :: (MESH:D012006,Disease) :: ['rectovaginal fistula']
