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Acquired recto-urethral fistula in children: long-term follow-up

R B Nerli1, Ashish Koura, Vikram Prabha

  • 1KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and MRC, Urology, Nehru Nagar, Belgaum 590010, India. rajendranerli@yahoo.in

Journal of Pediatric Urology
|April 7, 2009
PubMed

Insights

Pediatric recto-urethral fistula repair is effective using either the York-Mason or transperineal approach. Both methods offer good outcomes with minimal complications for children.

Area of Science:

  • Pediatric surgery
  • Urology
  • Gastroenterology

Background:

  • Acquired recto-urethral fistula is rare in children.
  • It can result from pelvic disorders like trauma, iatrogenic injury, inflammatory bowel disease, neoplasms, or infections.

Purpose of the Study:

  • To review the experience with treating recto-urethral fistula in children.
  • To focus on the outcomes of surgical repair.

Main Methods:

  • Retrospective review of 17 children treated between 1991 and 2008.
  • Data included demographics, cause, procedure, operative details, and morbidity.
  • Functional outcomes and quality of life were assessed via telephonic and personal contact.

Main Results:

  • Fifteen cases were iatrogenic, and two resulted from accidents.
  • Six patients underwent the York-Mason approach; 11 had the transperineal approach with a tunica vaginalis flap.
  • Operating time, success rates, and satisfaction scores were similar between the two groups.

Conclusions:

  • Both the York-Mason and transperineal approaches are effective for treating pediatric recto-urethral fistula.
  • Successful repair is achievable with minimal morbidity, short hospital stays, and good long-term outcomes.
Abstract

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