Surgical Treatment of High Urogenital Sinuses Using the Anterior Sagittal Transrectal Approach: A Useful Strategy to Optimize Exposure and Outcomes

The anterior sagittal transrectal approach provides excellent exposure for the management of a high urogenital sinus, facilitating the separation of urogenital structures. Good outcomes in terms of urinary/fecal continence as well as the absence of urethrovaginal fistulas were achieved in the majority of cases, supporting its consideration for the surgical management of this congenital abnormality.