Surgical Management of Urinary Incontinence Associated with Recto-vesical Fistulas: the Transanal Rectal Flap Approach

Synopsis of Video Urinary incontinence associated with recto-urinary fistulas, although uncommon, is a devastating complication of lower urinary tract surgery. The anatomic location of the fistula renders their repair significantly challenging. Over the years, various surgical techniques have been proposed including transabdominal, perineal, and transanal sphincteric, posterior sagittal, transrectal (York Mason) approaches. As an alternative to the more invasive, yet popular York Mason technique, we describe repair of recto-urinary fistulas with an incisionless transanal approach.