A rectourinary fistula is a common accompaniment of anorectal malformations
(ARM) in boys. Most boys pass urine normally after reconstruction and clos
ure of the fistula, but a few have serious problems because of a narrow ure
thra. In our series, a narrow urethra was encountered in three types of mal
e ARM: 3 rectourethral fistulae, 4 rectovesical fistulae, and 6 H-fistulae.
We have studied the diagnostic and therapeutic problems that a narrow uret
hra produces in patients afflicted with each of these malformations.