title: [Anterior anal sphincter approach in the management of urethral-rectal fistulas: a case report].
abstract: Urethrorectal fistula is a rare disease which is easy to diagnose, but which essentially raises a problem of the choice of the most appropriate surgical technique. A review of the literature on the subject shows that, over the last decade, various teams have developed the anterior and posterior trans-anp-sphincteric approaches. We report a case of an acquired urethrorectal fistula associated with anal incontinence treated via an anterior trans-ano-rectal perineal incision. The exposure provided by this incision facilitates simultaneous cure of the fistula and repair of the anal sphincter.
authors.affiliation: Service d'Urologie, Hôpital La Rabta, Tunis, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Chtourou
authors.forename: T
authors.initials: T
authors.lastname: Khalfallah
authors.forename: H
authors.initials: H
authors.lastname: Dahmoul
authors.forename: A
authors.initials: A
authors.lastname: Horchani
mesh_terms: D000328:Adult; D003125:Colostomy; D005242:Fecal Incontinence / Q000209:etiology; D006801:Humans; D008297:Male; D018579:Patient Selection; D011859:Radiography; D012003:Rectal Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014522:Urethral Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014548:Urinary Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*