case_images: PMC9398569_01
case_images: (
  A
  ) Preoperative magnetic resonance imaging (MRI) showing the anorectal malformation (ARM) with a rectourethral prostatic fistula. (
  B
  ) Micturating cystourethrogram (MCUG) demonstrating a rectourethral prostatic fistula with a maximum diameter of 2 mm.
case_images: 10-1055-s-0042-1750029-i210637cr-1.jpg
case_images: PMC9398569_01_10-1055-s-0042-1750029-i210637cr-1.jpg
case_images: FI210637cr-1
case_images: The rectal pouch terminated at the level of the tip of the coccyx just below the bladder base ( Fig. 1B ). 
case_images: Intraoperative indocyanine green (ICG) fluorescence. (
  A1
  ,
  A2
  ) Visible light images. (
  B1
  ,
  B2
  ) Near-infrared (NIR) images. (
  B1
  ) Assessment of intestinal perfusion during the pull-through lengthening maneuvers was a valuable first step after disconnecting the rectourethral fistula. (
  B2
  ) A second dose of ICG was injected to visualize the vascular perfusion of the intestine and perineal wound edges before the anoplasty.
case_images: 10-1055-s-0042-1750029-i210637cr-2.jpg
case_images: PMC9398569_01_10-1055-s-0042-1750029-i210637cr-2.jpg
case_images: FI210637cr-2
case_images:  Favorable fluorescence was obtained within 1 minute using the EleVision IR system (Medtronic Ltd, U.K.) ( Fig. 2 ).  After that, a second dose of ICG (1 mg, 0.2 mg/kg) was injected to visualize the vascular perfusion at the skin level and during the anoplasty ( Fig. 2 ).