Fig. 6
From: Anorectal anomalies in the male: revisiting the radiological classification
A 4-month-old boy with recto-prostatic fistula underwent PSARP. a Preoperative distal colostogram showing high distal rectum opposite S3 (arrow). b The diaphragmatic part of the levator ani is incised in the midline (black arrows). c We had to go above the prostate (black arrow) to reach the rectum (white arrow). d A midline incision is made through the posterior rectal wall to expose the fistula from inside (white arrow). e After separation of the anterior rectal wall, we continue with perirectal dissection until the length of rectum is sufficient to reach down to the perineum. f The neo-anus is fixed in its normal predestined location within the striated muscle complex