title: Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach.
abstract: Rectourethral fistula (RUF) may develop after ureterovesical and rectal intervention or radiation therapy (RT) rarely, but it is associated with significant morbidity and mortality. The patient will typically present with pneumaturia, faecaluria, and urinary drainage from the rectum. Diagnosis can be easily done with digital rectal examination, cystography, and urethrocystoscopy. Conservative supportive management of RUF does not appear to be successful in most patients, and management with surgical intervention remains the best treatment option. Several surgical techniques have been described including transabdominal, transanal, transperineal, combined abdominoperineal, anterior and posterior transsphincteric, transsacral, laparoscopic, robotic, and endoscopic minimally invasive approaches. There have been very few data about treatment of recurrent RUF. We would like to report the management of recurrent RUF following transurethral resection of prostate and RT for prostate carcinoma in an immunosuppressed, 75-year-old patient by York Mason posterior transrectal transsphincteric approach.
authors.affiliation: General Surgery Department, Atatürk Research and Training Hospital, Turkey.
authors.forename: Fahri
authors.initials: F
authors.lastname: Yetişir
authors.affiliation: Anesthesiology and Reanimation Department, Atatürk Research and Training Hospital, Turkey.
authors.forename: A Ebru
authors.initials: AE
authors.lastname: Şarer
authors.affiliation: Bozok University General Surgery Department, Turkey.
authors.forename: H Zafer
authors.initials: HZ
authors.lastname: Acar
authors.affiliation: General Surgery Department, Atatürk Research and Training Hospital, Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Parlak
authors.affiliation: General Surgery Department, Medical Park Private Hospital, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Osmanoglu
authors.affiliation: General Surgery Department, Atatürk Research and Training Hospital, Turkey.
authors.forename: Gulen
authors.initials: G
authors.lastname: Karalova