Fig. 3

Separation with anal canal and urethral reconstruction. Operative findings: a fused spinal cord, b fused anus, c fused penis. d The fused penis and urethra were divided into two pairs of bodies, and the urethral plate and penile skin were sutured with Byar’s flap to wrap the penises. e The sphincter muscle complex and puborectalis were fused partially and reconstructed, giving each patient one-half of the sphincter muscles