Techniques in Coloproctology

, Volume 18, Issue 2, pp 201–203

The trans-sphincteric posterior sagittal repair of recto-urinary and recto-vaginal fistulae using Surgisis™ mesh and fibrin sealant

Technical Note


Recto-urinary, recto-vaginal and ileo-anal pouch-associated fistulae are rare yet a significant clinical problem due to their profound impact on patients’ quality of life and are a challenge to repair. In this report, we describe repair of these complex fistulae using a modified trans-sphincteric posterior sagittal approach with Surgisis™ mesh and fibrin sealant and review our repair outcomes.


Recto-urinary Recto-vaginal Fistula Surgisis™ Fibrin 


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Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  1. 1.Department of Surgery, 2C3.62 WMCUniversity of Alberta HospitalEdmontonCanada

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