Rectal flap advancement - A simple and effective approach for the treatment of rectourethral fistula

Zeev Dreznik, D. Alper, T. H. Vishne, E. Ramadan

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Objective. Rectourethral fistula is a rare complication of prostatic surgery and other pelvic procedures. We report our experience of surgical repair of using a rectal advancement flap. Patients. Three patients with rectourethral fistula following prostatic surgery were treated. Two patients had an anterior partial thickness of rectal flap advancement via a trans-anal approach without urinary or faecal diversion. In one patient a rectal flap repair was performed through a posterior transsphincteric approach following urinary and faecal diversion. Results. No significant postoperative complications occured. Healing was successful in each patient and faecal and urinary continence was normal. Conclusion. Transanal rectal advancement flap is a simple and effective technique for the treatment of a rectourethral fistula with no need for urinary or faecal diversion.

Original languageEnglish
Pages (from-to)53-55
Number of pages3
JournalColorectal Disease
Volume5
Issue number1
DOIs
StatePublished - Jan 2003
Externally publishedYes

Keywords

  • Rectal flap advancement
  • Rectourethral fistula

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