Repair of rectourinary fistulas using a posterior sagittal transanal transrectal (modified York-Mason) approach: an update.
OBJECTIVE
We report our experience with posterior sagittal, transanal, transrectal repair of rectourinary fistulas.


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.
Stephenson
R A
RA
Department of Surgery, University of Utah College of Medicine, Salt Lake City, USA.
Middleton
R G
RG
D050723:Fractures, Bone / Q000150:complications; D006801:Humans; D008297:Male; D010384:Pelvic Bones / Q000293:injuries; D011183:Postoperative Complications / Q000601:surgery; D011468:Prostatectomy; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*