Protectomy treatment of anal area

It is essential for the success of this procedure that the vesicourethral anastomosis be preformed in a watertight fashion. The initial idea to carry out this procedure originated while planning the optimal treatment of a young patient diagnosed with locally advanced rectal cancer.

Minimally invasive perineal approaches can be used such as ASTRA, which allows fistula resection and adequate closure 18, It can be managed intraoperatively or by a minimally invasive procedure without the need of colostomy.

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