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Rectal flap advancement--a simple and effective approach for the treatment of rectourethral fistula
Z Dreznik1, D Alper, T H Vishne
1Department of Surgery A, Rabin Medical Center, Petach-Tikva Sackler Medical School, Tel Aviv University, Campus Golda, 7 Keren Kayemet Street, Petach-Tikva, Israel 49372. zeevd@clalit.org.il.
Objective:
Rectourethral fistula is a rare complication of prostatic surgery and other pelvic procedures. We report our experience of surgical repair of using a rectal advancement flap.
Patients:
Three patients with rectourethral fistula following prostatic surgery were treated. Two patients had an anterior partial thickness of rectal flap advancement via a trans-anal approach without urinary or faecal diversion. In one patient a rectal flap repair was performed through a posterior transsphincteric approach following urinary and faecal diversion.
Results:
No significant postoperative complications occurred. Healing was successful in each patient and faecal and urinary continence was normal.
Conclusion:
Transanal rectal advancement flap is a simple and effective technique for the treatment of a rectourethral fistula with no need for urinary or faecal diversion.
