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Management of Rectourethral Fistula

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Reconstructive Surgery of the Rectum, Anus and Perineum

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Abstract

This chapter discusses the diagnostic and management approach to the rare but important rectourethral fistula. The most common cause of this fistula is iatrogenic at the time of prostatic surgery, although it may also result from prostate brachytherapy. The operative approaches are individualized and may include abdominal, per-anal/endoanal, perineal, transsphincteric (York-Mason), posterior (Kraske style), and pararectal procedures. The outcomes of these approaches and the use of biologic glues for this specific condition are discussed.

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Authors and Affiliations

  1. Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Mandeep S. Saund M.B.B.S., M.S., FACS, FRCS(G) & Ronald Bleday M.D., FACS FASCRS

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  1. Mandeep S. Saund M.B.B.S., M.S., FACS, FRCS(G)
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  2. Ronald Bleday M.D., FACS FASCRS
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Editors and Affiliations

  1. Tamworth Rural Referral Hospital, Dean Street, Tamworth, 2340, New South Wales, Australia

    Andrew P. Zbar

  2. Delware Street 420, Minneapolis, 55455, Minnesota, USA

    Robert D. Madoff

  3. , Dept. Colorectal Surgery, Cleveland Clinic, Florida, Cleveland Clinic Blvd. 2950, Weston, 33331, Florida, USA

    Steven Wexner

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Saund, M.S., Bleday, R. (2013). Management of Rectourethral Fistula. In: Zbar, A., Madoff, R., Wexner, S. (eds) Reconstructive Surgery of the Rectum, Anus and Perineum. Springer, London. https://doi.org/10.1007/978-1-84882-413-3_39

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  • DOI: https://doi.org/10.1007/978-1-84882-413-3_39

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