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Repair of rectourinary fistulas using a posterior sagittal transanal transrectal (modified York-Mason) approach: an
R A Stephenson1, R G Middleton
1Department of Surgery, University of Utah College of Medicine, Salt Lake City, USA.
The Journal of Urology
|June 1, 1996
Abstract
Purpose:
We report our experience with posterior sagittal, transanal, transrectal repair of rectourinary fistulas.
Materials And Methods:
A total of 16 fistula repairs was done in 15 patients.
Results:
Of the fistulas 13 occurred after a variety of prostatic procedures, 1 after Y-V plasty and 1 after pelvic trauma (2 repairs were attempted in the latter case). Six patients underwent repair without colostomy. No patient experienced fecal or anal complications and all repairs were successful.
Conclusions:
Our surgical approach for repair of rectourinary fistulas is simple, effective, associated with minimal morbidity and cost-effective.