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[Management of rectourethral fistulas with the York Mason procedure: surgical techniques and outcomes]

S Forest¹, H Fassi Fehri¹, S Glachant¹

¹Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie

|March 29, 2014

Abstract

Objective:

To report our experience for the management of urethro-rectal fistula by the York Mason technique.

Patients And Methods:

We retrospectively analyzed the data of patients treated surgically for FUR by the technique of York Mason, between 2000 and 2012.

Results:

Seventeen patients were included in the study. All patients had a bowel diversion before surgery. We observed four recurrences of FUR (23.5%). Recurrences occurred in a radiation field for two patients and in a oncologic recurrence for 1 patient. The fourth recurrence was treated by a second procedure of York Mason successfully.

Conclusion:

In our study, the York Mason technique was safe and reproducible for the treatment of FUR. The main factor of failure was a history of pelvic radiotherapy.

Keywords:

Cancer de la prostate Fistule rectale Fistule urinaire Prostate cancer Radiotherapy Radiothérapie Rectal fistula Surgical injuries Traumatismes chirurgicaux Urinary fistula

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