title: [Recto-urethral fistula secondary to prostate cancer].
abstract: OBJECTIVE
  There are various treatments forprostate cancer nowadays, including techniques that have been used for manyyears such as surgery and radiotherapy, and newer procedures that are gaining prominence in the Urological field like cryotherapy or HIFU (high intensity focused ultrasound). Rectourethral fistula is a rare complication that demands the urologist a great capacity; it may happen after either existent treatment.
  
  
  METHODS
  PubMed literature review with articles published during the last 10 years using the terms "rectourethral fistula" and "prostate cancer".
  
  
  RESULTS
  We present the current situation of rectourethral fistula secondary to prostate cancer in terms of epidemiology, diagnosis and treatment, with special focus on the various types of fistulae and their management. We comment on general features in relation to surgical management of this pathology; type of approach, type of repair, use of flaps, concomitant fistula and urethralstenosis, delay of surgery and bowel diversion. We describe the surgical techniques more frequently used today and their limitations. We present the results published by different groups with each of these techniques, as well as the corresponding recommendations based on each group's experience.
  
  
  CONCLUSIONS
  Rectourethral fistula is a surgical challenge for the urologist. We must choose the appropriate management in accordance to the characteristics of the fistula.
authors: Unidad de Andrologia y Cirugia Reconstructiva Uretro-Genital. Servicio de Urologia.Hospital General Universitario Gregorio Marañon.Universidad Complutense. Madrid.Spain.
authors: Daniel
authors: D
authors: Ramírez Martín
authors: Juan
authors: J
authors: Aragón Chamizo
authors: José
authors: J
authors: Jara Rascón
authors: G
authors: G
authors: Ogaya Piniés
authors: J
authors: J
authors: Piñero
authors: Felipe
authors: F
authors: Herranz Amo
authors: Carlos
authors: C
authors: Hernández Fernández
authors: Enrique
authors: E
authors: Lledó García
mesh_terms: D000230:Adenocarcinoma / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D001918:Brachytherapy / Q000009:adverse effects; D003452:Cryosurgery / Q000009:adverse effects; D057086:High-Intensity Focused Ultrasound Ablation / Q000009:adverse effects; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use; D015994:Incidence; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D011468:Prostatectomy / Q000009:adverse effects; D011471:Prostatic Neoplasms / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D011832:Radiation Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D011837:Radiation-Protective Agents / Q000627:therapeutic use; D012003:Rectal Fistula / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D012307:Risk Factors; D014522:Urethral Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D014548:Urinary Fistula / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods
chemical_list: D011837:Radiation-Protective Agents; D006820:Hyaluronic Acid