title: Delayed post-traumatic prostatic-urethrorectal fistula: transperineal rectal sparing repair - point of technique.
abstract: We describe the outcome and management of an unusual and interesting case of delayed post-traumatic prostatorectal fistula in a 40-year-old man. The fistula was repaired successfully via transperineal access without rectal or sphincteric transgression. We found the transperineal surgical approach simple, effective and useful in approaching the prostatorectal region for rectourinary fistulas. The transperineal approach is useful and should be considered in such select cases. We describe our technique that may be beneficial to many urologists.
authors.affiliation: Department of Surgery, University College of Medical Sciences, University of Delhi, Delhi, India. iqbalsinghp@yahoo.co.uk
authors.forename: Iqbal
authors.initials: I
authors.lastname: Singh
authors.forename: Gyanendra
authors.initials: G
authors.lastname: Mittal
authors.forename: Praveen
authors.initials: P
authors.lastname: Kumar
authors.forename: Rajesh
authors.initials: R
authors.lastname: Gangas
mesh_terms: D000058:Accidental Falls; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D010502:Perineum / Q000293:injuries* / Q000601:surgery; D011469:Prostatic Diseases / Q000209:etiology / Q000601:surgery*; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*; D014950:Wounds, Penetrating / Q000150:complications* / Q000601:surgery