Rectourethral Fistula Repair: A Challenging Surgical Procedure

Surgical management of acquired rectourethral fistula, emphasizing the posterior approach.

Rectourethral fistula is an uncommon surgical entity having a variety of congenital and acquired causes. Although several surgical approaches have been proposed in the literature, successful repair is often difficult. The 2 patients described had rectourethral fistulas after radical prostatectomy. One patient failed previous transabdominal and perineal repairs. The authors propose a 3-step appr...

Intraoperative Sonographic Guided Pull-through Anorectoplasty: A Novel Procedure for Imperforate Anus and Rectourethral Fistula: A Clinical Trial Study

Background and objectives: Optimal surgical management of the neonate with imperforate anus (IA) depends on determining accurate location of muscle complex, pouch of rectum and urethral fistula. The aim of this study was to investigate a novel minimally invasive technique of anorectoplasty assisted by intraoperative sonography pull-through for repair of anorectal malformation and rectourinary f...

Radiographic diagnosis of a rectourethral fistula in a dog.

An English bulldog was referred to the Veterinary Medical Teaching Hospital-University of Wisconsin (VMTH-UW) for re-evaluation of an 8-year history of chronic, recurrent prostatitis and cystitis. The patient was first referred to the VMTH-UW at 11 months of age with a history of antibiotic-responsive hematuria and stranguria. Four urinary tract contrast studies were performed during the 8-year...

Individualized Treatment for a Rectourethral Fistula: Rare Complications

extensive resections that may result in permanent fecal diversion and/or urinary diversion because of nonfunctional fecal and urinary systems [3]. Because of the relative rarity of the fistula, as well as technical challenges inherent in successful repair, most series include very few patients, and authors have often applied heterogeneous therapeutic options with mixed postoperative results. Th...

Aortic-esophageal fistula: attempted surgical repair.