The Posterior Sagittal Approach to Bladder Neck Closure in Patients With Anorectal Malformation: A Novel Collaborative Technique

Bladder neck closure may be beneficial in patients with refractory urinary incontinence secondary to outlet deficiency. The location of the bladder neck deep within the pelvis may make exposure difficult during an open approach. We describe a novel approach to bladder neck closure in patients with anorectal malformations using a posterior sagittal approach. Our approach provides superior visualization of the bladder neck and easy access to tissue to provide additional layers of coverage, and prevents the need for an abdominal incision in patients undergoing simultaneous rectal or vaginal surgeries.