Abstract
An adequately performed high pressure distal colostogram is crucial to plan surgery
in male patients born with anorectal malformations. We present two male patients that
underwent a divided sigmoid colostomy with distal mucus fistula in the neonatal period
and at 6 months of age underwent a high pressure distal colostogram. In the discussion,
we will give some tricks beyond the known rules: how to correctly interpret a high
pressure distal colostogram, how to identify the level of a recto-urinary fistula,
and how to accurately plan the surgical approach.
Keywords
high pressure distal colostogram - anorectal malformation - recto-urinary fistula
