PURPOSE A loop ileostomy is used to protect an anastomosis after anal sphincter-preserving surgery, especially in patients with low rectal cancer, but little information is available concerning risk factors associated with a nonreversal ileostomy. The purpose of this study was to identify risk factors of ileostomy nonreversibility after a sphincter-saving resection for rectal cancer. METHODS ...

The aim of this review article is to review the technique of laparoscopic assisted anorectoplasty (LAARP), its modifications, indications, contraindications and outcomes for anorectal malformations (ARM). LAARP was first introduced by Willital in 1998 and developed by Georgeson in 2000. Many modifications have taken place to reduce complications and to provide better functional outcomes. Recto-...

A 74-year-old manwas referred to our department for endoscopic evaluation and treatment of a rectovesical fistula. He had undergone prostatectomy for early prostate cancer 2 weeks previously. Postoperatively, he had developed pneumaturia and dysuria; computed tomography (CT) had revealed a rectovesical fistula. At colonoscopy, a well-circumscribed opening of a fistula tract was seen in the ante...

OBJECTIVES Rectovesical fistula (RVF) is a rare complication of radical prostatectomy. A 57-year-old man underwent open radical prostatectomy with recognized rectal injury, primary closure of the rectal wall, and loop colostomy. The patient developed urine leakage per rectum after colostomy closure. We diverted the fecal stream with end colostomy and placed a suprapubic tube. An open transsacra...

monly associated with diverticular disease or inflammatory bowel disease. They usually involve the lower abdominal wall. If the process starts retroperitoneally, the resulting fistula will follow a tortuous route, tracking along the inguinal ligament, femoral canal, sciatic or obturator foramen and into the thigh. However, colocutaneous fistulas secondary to anastomotic leaks are rare. We descr...

Treatment of perianal fistulas in Crohn's disease should be defined on an individual basis. A combined medical and surgical approach is the optimal treatment. Adequate management of perianal fistula disease is based on the presence or absence of active proctitis, anatomic location, and fistula type. Furthermore, the presence of perianal abscesses must be ruled out. This evaluation includes digi...

Obstetric injury is the most frequent cause of acquired rectovaginal fistulas but infection and other forms of trauma may also result in these fistulas. After an obstetric injury, the fistula may be manifest immediately but more frequently appears 7–10 days after delivery. Fistulas occur most often after a thirdor fourth-degree laceration. Inadequate repair, breakdown of the repair, or infectio...

A 55-year-old female underwent low anterior resection for rectal cancer using a double stapling technique. She developed a rectovaginal fistula on the 9th postoperative day. She was discharged from hospital after undergoing transverse colostomy, and 5 months later she underwent transvaginal repair of the rectovaginal fistula. She subsequently had an uneventful recovery. The leading cause of thi...

PURPOSE Rectourethral fistula is a rare but severe complication after radical prostatectomy and there is no standardized treatment. We retrospectively evaluated the incidence, symptoms and management of rectourethral fistulas based on our experience. MATERIALS AND METHODS From 1999 to 2008 we performed 2,447 radical prostatectomies. Patients in whom postoperative rectourethral fistulas develo...