[Congenital recto-urethral fistulas in adults. Two cases (author's transl)].
Presentation of two cases of imperforate anus managed in infancy. In first case, at age of 19, surgical closure of recto-urethral fistula associated to excision of a rectal pouch complicated with infected lithiasis and renal damage provides definitive therapy. In second case, recto-urethral fistula was well tolerated for more than 50 years without renal damage. Simple removal of a prostatic lithiasis partially obstructing fistula, provided fair good result. Etiology of these fistulae, well known in pediatric patients, is then discussed. Management must be adapted to complaints and risks.
D000328:Adult; D001006:Anus, Imperforate / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D012003:Rectal Fistula / Q000151:congenital* / Q000601:surgery; D014522:Urethral Diseases / Q000151:congenital* / Q000601:surgery; D014548:Urinary Fistula / Q000151:congenital* / Q000601:surgery
Fistules recto-urétrales congénitales parvenues à l'âge adulte. Deux observations.