title: [Management of rectourethral fistulas with the York Mason procedure: surgical techniques and outcomes].
abstract: OBJECTIVE
  To report our experience for the management of urethro-rectal fistula by the York Mason technique.
  
  
  METHODS
  We retrospectively analyzed the data of patients treated surgically for FUR by the technique of York Mason, between 2000 and 2012.
  
  
  RESULTS
  Seventeen patients were included in the study. All patients had a bowel diversion before surgery. We observed four recurrences of FUR (23.5%). Recurrences occurred in a radiation field for two patients and in a oncologic recurrence for 1 patient. The fourth recurrence was treated by a second procedure of York Mason successfully.
  
  
  CONCLUSIONS
  In our study, the York Mason technique was safe and reproducible for the treatment of FUR. The main factor of failure was a history of pelvic radiotherapy.
authors.affiliation: Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France. Electronic address: sylvain.forest@chu-lyon.fr.
authors.forename: S
authors.initials: S
authors.lastname: Forest
authors.affiliation: Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: H
authors.initials: H
authors.lastname: Fassi Fehri
authors.affiliation: Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: S
authors.initials: S
authors.lastname: Glachant
authors.affiliation: Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: M
authors.initials: M
authors.lastname: Colombel
authors.affiliation: Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: S
authors.initials: S
authors.lastname: Crouzet
authors.affiliation: Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: E
authors.initials: E
authors.lastname: Ravier
authors.affiliation: Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: A
authors.initials: A
authors.lastname: Gelet
authors.affiliation: Urologie, chirurgie de la transplantation, pavillon V, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
authors.forename: X
authors.initials: X
authors.lastname: Martin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D012003:Rectal Fistula / Q000601:surgery*; D012189:Retrospective Studies; D014522:Urethral Diseases / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*
keywords: Cancer de la prostate; Fistule rectale; Fistule urinaire; Prostate cancer; Radiotherapy; Radiothérapie; Rectal fistula; Surgical injuries; Traumatismes chirurgicaux; Urinary fistula