The York Mason Approach to Repair of Iatrogenic Rectourinary Fistulae

Dartos Muscle Interposition Flap for the Treatment of Rectourethral Fistulas

“…The operative management of rectourethral fistula remains controversial, with no single technique providing results that are successful enough to consider it the standard of care. 4,[9][10][11][12][13][14][15][16][17] Because of the rarity of the condition, series describing the success of various repairs are limited by the small number of patients. Despite the choice of technique, there is a high rate of recurrent fistulas.…”

York Mason Procedure to Repair Iatrogenic Rectourinary Fistula: Our Experience

“…The York Mason posterior, transanal, transrectal repair is a feasible and effective surgical approach. It allows excellent exposure of the fistulous tract and scarless dissection, making this one of the most widely used techniques [14][15][16][17][18][19]. The York Mason technique allows meticulous separation of the fecal and urinary systems and the possibility of avoiding fecal diversion [20,21].…”

Coloanal Sleeve Anastomosis (Soave Procedure): The Ultimate Treatment Option for Complex Rectourinary Fistulas

“…Moreover, primary treatment of large fistulas or fistulas that occur in the setting of heavily irradiated tissue using local techniques are probably doomed to failure. 7 In some situations, techniques that allow interposition of viable tissue between the rectal and urethral openings can be useful; 9-11 however, dissection of the plane between the rectum and the urethra is challenging and can be hazardous in patients with previous radical prostatectomy or surgery for distal rectal cancer. Four to 25 percent 17 of patients presenting with complex rectourinary fistula require permanent fecal diversion.…”