title: Posterior sagittal anorectoplasty: primary repair of a rectovaginal fistula in an adult: report of a case.
abstract: OBJECTIVE
  A case of an adult patient with the anorectal malformation of a rectovestibular fistula successfully repaired by performing a posterior sagittal anorectoplasty is reported. This case should increase the awareness of both primary and secondary anorectal malformations in the adult patient.
  
  
  METHODS
  Management and outcome of an adult patient who presented with a rectovaginal fistula and underwent primary operative correction of her anorectal malformation using posterior sagittal anorectoplasty is reviewed.
  
  
  RESULTS
  Total continence was achieved in an adult patient undergoing primary repair of a rectovaginal fistula using posterior sagittal anorectoplasty.
  
  
  CONCLUSIONS
  Posterior sagittal anorectoplasty can be successfully performed in the adult patient for a primary repair of anorectal malformations. This operation should be considered in patients who have undergone another prior operative procedure with less than optimum function and now desire a secondary corrective procedure.
authors.affiliation: Department of Surgery, The University of Texas Southwestern Medical Center, Dallas 75235-9156, USA.
authors.forename: C L
authors.initials: CL
authors.lastname: Simmang
authors.forename: E
authors.initials: E
authors.lastname: Paquette
authors.forename: D
authors.initials: D
authors.lastname: Tapper
authors.forename: R
authors.initials: R
authors.lastname: Holland
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D012006:Rectovaginal Fistula / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods