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Updated: Oct 9, 2025
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[York-Mason procedure for urethrorectal fistula: A report of 10 cases]
Hai Jiang1, Qi-Qi Mao1, Jia-Jie Fang1
1Department of Urology, The First Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, China.
Objective:
To evaluate the effect of the York-Mason procedure (posterior sagittal approach) in the treatment of urethrorectal fistula.
Methods:
Ten 15－80 (mean 54) years old male patients with urethrorectal fistula were treated by the York-Mason procedure, 3 by anoplasty for congenital anal atresia, 5 by laparoscopic radical prostatectomy, and the other 2 by radical rectal cancer resection. All the cases were single fistula with a history of 3 months to 18 years. Enterostomy was performed in 6 of the cases before the York-Mason procedure.
Results:
The York-Mason procedure lasted 90－130 (mean 104) minutes, with no perioperative complications. Nine of the cases were successfully repaired in the first surgery and 1 in the second. The patients were discharged after an average of 7 hospital days postoperatively and followed up for 6－90 months without recurrence.
Conclusions:
The York-Mason procedure is a reliable and effective option for the treatment of urethrorectal fistula, with the advantages low morbidity, short operation time and fast recovery.
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