Surgical correction of rectoprostatic fistula

Area of Science:

• Urology
• Surgical Complications
• Rectal Surgery

Background:

• Rectoprostatic fistulas are uncommon complications following prostatic surgery.
• Existing literature on managing these fistulas is limited.
• This study addresses the treatment of rectoprostatic fistulas post-prostatectomy.

Observation:

• Three male patients presented with rectoprostatic fistulas secondary to prostate surgery.
• The patients underwent treatment for these complex fistulas.
• The surgical intervention aimed to address the rectourinary communication.

Findings:

• The Mason transsphincteric transrectal operation was employed for fistula repair.
• This technique resulted in prompt, primary healing of the rectoprostatic fistula in all three patients.
• Following colostomy closure, patients achieved normal urinary and fecal continence.

Implications:

• A systematic, three-step surgical approach is recommended for rectoprostatic fistula treatment.
• The Mason technique offers superior exposure and reliable closure for rectourinary fistulas.
• This approach can lead to successful patient outcomes with restored physiological functions.