Staging Rectourinary Fistulas to Guide Surgical Treatment

Abstract

The surgical challenges of a variety of rectourinary fistula repairs can be managed with minimal morbidity and a high success rate using proper staging to guide urinary tract reconstruction.

Technique de York-Mason dans le traitement des fistules

“…Il est recommandé d'utiliser un cathéter sus-pubien et une sonde urétrale, mais elle reste inefficace dans les fistules importantes 16,17 . Crippa et al ont signalé une seule guérison après drainage urinaire seul parmi les huit cas signalés 18 .…”

Transsphincteric repair of rectourethral fistulas: 15 years of experience with the York Mason approach

“…In addition, we retrospectively classified RUFs according to the fistula staging system proposed by Rivera et al . in 2006 …”

Outcome of a Modified York Mason Technique in Men With Iatrogenic Urethrorectal Fistula After Radical Prostatectomy

“…10,15,17,18 Briefly, the main surgical steps were achieved as follows: 1) A transanal transsphincteric incision was made to one side or the other from the midline (i.e., coccyx) extending from the level of the coccyx to the anal verge. (This was a change from the original technique.…”

“…When the diagnosis of iatrogenic fistula has been established, surgical repair is always required. 10,14,15 Although numerous surgical procedures have been described for the treatment of urethrorectal fistulas, none of them have gained wide acceptance as the procedure of choice. 16 The York Mason procedure represents one surgical option for this condition.…”