[Treatment of a vesicorectal fistula associated with a neurogenic bladder]

In the case reported a large vesicorectal fistula associated with a neurogenic bladder was closed using an original surgical approach, involving the use of Kraske's approach which allows the rectum to be opened posteriorly while avoiding sphincter structures. This is the fundamental difference that distinguishes it from York-Masson's approach which cuts the anal sphincter. Even though it is indicated only exceptionally, this new approach is therefore one that should be known.