York-Mason procedure for repair of recto-urinary fistulae: a 40-year experience.
OBJECTIVE
To review the use of the York-Mason transanal, transrectal procedure, used in properly selected patients over a 40-year period, for repairing recto-urinary fistulae.


METHODS
We retrospectively reviewed the medical records of all patients who underwent acquired recto-urethral or rectovesical fistula repair at our institution. A total of 51 patients have undergone York-Mason recto-urinary fistula repair at our institution during this time.


RESULTS
Since our last report in 2003, we have performed this procedure an additional 27 times. We continue to have good results, with 25 of these patients having resolution of their fistulae after one procedure. Failures in the updated cohort were radiation-induced fistulae. We continue to find no evidence of faecal incontinence or stenosis after this procedure.


CONCLUSIONS
Over a period of 40 years, the York-Mason posterior, transanal, transrectal correction of iatrogenic recto-urinary fistula has been highly successful, reliable and safe, when used for fistulae occurring after prostate surgery. Preliminary faecal diversion can often be avoided in selected patients.
Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
David A
DA
Hadley
Andrew
A
Southwick
Richard G
RG
Middleton
D006801:Humans; D008297:Male; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*