title: Urethroperineal-rectal fistula in Crohn's disease.
abstract: A 19-year-old white male with Crohn's disease, who complained of passing urine per rectum and having retrograde ejaculations, was noted to have a urethroperineal-rectal fistula. The fistulous communication remained patent despite pharmacologic therapy, a diversion ileostomy, and a total proctocolectomy. A fistulectomy and definitive urethral repair finally resulted in resolution of the problem.
mesh_terms: D000328:Adult; D003424:Crohn Disease / Q000150:complications*; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010502:Perineum; D012003:Rectal Fistula / Q000209:etiology* / Q000601:surgery; D014522:Urethral Diseases