Rectourethral Fistula

  • Jack M. Zuckerman
  • Kurt A. McCammonEmail author


In the modern era, acquired rectourethral fistula (RUF) develops most commonly secondary to complications following the treatment of prostate cancer. Compared with historic controls, RUF seen today are frequently larger and more often associated with concomitant radiation or tissue ablation complicating attempts at surgical repair. History, physical exam, and diagnostic evaluation allow adequate characterization of the fistula tract and surgical planning, including the potential need for flap interposition during the repair. Surgical approach to the fistula may utilize either a sphincter preserving perineal technique or a prone jackknife transrectal dissection depending on surgeon experience and training. Rarely a combined abdominoperineal dissection is required. Outcomes and complications of each technique are reviewed.


Rectourethral fistula Radiation Salvage Prostate cancer Flaps 



Rectourethral fistula


Radical prostatectomy


External beam radiation therapy


Radiation therapy


Transurethral resection of the prostate


High-intensity focused ultrasound


Computed tomography


Magnetic resonance imaging


Retrograde urethrogram


Voiding cystourethrogram


Buccal mucosa graft


Suprapubic tube


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of UrologyEastern Virginia Medical SchoolNorfolkUSA

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