Posterior sagittal approach for excision of the prostatic utricle

The Posterior Midsagittal Approach for the Surgical Excision of Intrapelvic Malignant Tumours

“…Surgery of pelvic floor lesions by PMA is performed either transanorectally or with sparing of the integrity of the rectum by lateral traction. Our previous experience from the excision of congenital rectovaginal fistula (6) and prostatic utricle cyst (5,7,9) by lateral traction of the rectum was used to excise the intrapelvic tumours, thus sparing our patients the necessity of a colostomy.…”

“…PMA has also been used with either lateral traction of the rectum or transanally (15) for the treatment in children with the following lesions: posttraumatic and postradiation fistulas (10,13), presacral masses (11,15), complications associated with surgery of Hirschsprungs disease (13), urogenital sinus (14), anterior sacral meningocele (16), high vaginal strictures (10), and Mullerian duct remnants (5,7,9). The same approach has been used for the excision of a presacral teratoma in an adult (1).…”