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During operation for Rectoperineal Fistula in males

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quote from "Pediatric Colorectal Conundrums: Case Studies: From Fundamental to Advanced (Pediatric Colorectal Surgery)" by Marc Levitt, Thomas Xu, Hussein Wissanji -

"It is crucial not to chase the anteriorly directed fistula toward the scrotum, as it runs parallel to the urethra. Attempting to trace this fistula surgically could lead to significant complications, including spongiosum bleeding and urethral injury. Instead, the focus should be on mobilizing the distal rectum and avoiding dissection of the anterior rectal wall to avoid a urethral injury."

On 4/23/2026 at 8:27 PM, admin said:

quote from "Pediatric Colorectal Conundrums: Case Studies: From Fundamental to Advanced (Pediatric Colorectal Surgery)" by Marc Levitt, Thomas Xu, Hussein Wissanji -

"It is crucial not to chase the anteriorly directed fistula toward the scrotum, as it runs parallel to the urethra. Attempting to trace this fistula surgically could lead to significant complications, including spongiosum bleeding and urethral injury. Instead, the focus should be on mobilizing the distal rectum and avoiding dissection of the anterior rectal wall to avoid a urethral injury."

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