Fig. 5
From: Anorectal anomalies in the male: revisiting the radiological classification
A 3-month-old boy with recto-bulbar fistula underwent PSARP. a Preoperative distal colostogram. b, c The diaphragmatic part of the levator ani is incised in the midline to expose the rectum (R). d A midline incision is made through the posterior rectal wall to expose the fistula from inside (white arrow). e, f Separation of the anterior rectal wall, leaving the fistula in place (white arrow) attached to the urinary tract to be closed by running sutures