A new surgical approach to traumatic rectourethral fistulas

To solve the dual problem of recurring stenosis of the posterior urethra and difficult closure of the fistulous tract in traumatic rectourethral fistulas the Johanson urethroplasty has been used in 4 cases of lower fistulas and the direct urethra-bladder neck anastomosis has been used in 4 cases of upper fistulas. The good results obtained seem to confirm the value of these methods. Direct urethra-bladder neck anastomosis also has been used successfully to treat posterior urethral strictures.