Reverse Needle Driving via Umbilical Trocar: An Effective Technique for Treating Recto‐Bulbar Urethral Fistula in Laparoscopically Assisted Anorectoplasty

This technique addresses the traditional challenges of urethral injury risk and incomplete fistula removal by utilizing strategic umbilical trocar positioning combined with flexible urethroscope confirmation. This robust RUBF technique represents an effective and safe approach for treating RUBF in LAARP.

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Publication Details

Journal
Asian Journal of Endoscopic Surgery
Published
2026-01-01
DOI
https://doi.org/10.1111/ases.70231
Primary Topic
Anorectal Disease Treatments and Outcomes
Type
article
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article

Reverse Needle Driving via Umbilical Trocar: An Effective Technique for Treating Recto‐Bulbar Urethral Fistula in Laparoscopically Assisted Anorectoplasty

Takafumi Kawano, Keisuke Yano, Chihiro Kedoin, Yudai Tsuruno et al.
Asian Journal of Endoscopic Surgery
Anorectal Disease Treatments and Outcomes
article

Reverse Needle Driving via Umbilical Trocar: An Effective Technique for Treating Recto‐Bulbar Urethral Fistula in Laparoscopically Assisted Anorectoplasty

Takafumi Kawano, Keisuke Yano, Chihiro Kedoin, Yudai Tsuruno, Lynne Takada, Ayaka Nagano, Waka Yamada, Satoshi Ieiri, Ayaka Nagano, Yumiko Tabata, Shun Onishi, Koji Yamada, Yumiko Iwamoto
article en

Abstract

This technique addresses the traditional challenges of urethral injury risk and incomplete fistula removal by utilizing strategic umbilical trocar positioning combined with flexible urethroscope confirmation. This robust RUBF technique represents an effective and safe approach for treating RUBF in LAARP.

Asian Journal of Endoscopic SurgeryVol. 19(1)
Kagoshima University (JP), Great Ormond Street Hospital (GB), National Hospital Organization Hokkaido Medical Center (JP), University College London (GB), Kobe University (JP)
Good health and well-being
Openalex Percentile: Top 94%
Anorectal Disease Treatments and Outcomes
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Reverse Needle Driving via Umbilical Trocar: An Effective Technique for Treating Recto‐Bulbar Urethral Fistula in Laparoscopically Assisted Anorectoplasty — Takafumi Kawano, Keisuke Yano, et al. · Asian Journal of Endoscopic Surgery (2026) | TGRS Research Map | TGRS