[Surgical correction of prostato-rectal fistulas]

A recto-prostatic fistula is a rare complication of prostatic operations and the literature on the subject is scanty. Three men were treated for recto-prostatic fistulas representing complications of prostatic surgery. York Masons trans-sphincteric trans-rectal operation resulted in prompt, primary healing of the fistula. Subsequent colostomy closure left all three patients with normal urinary and fecal control. A systematic 3-step sequence of operation is advocated for the treatment of recto-prostatic fistulas. The York Mason operation provides excellent exposure and reliable closure of recto-urinary fistulas.