Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach
Rectourethral fistula (RUF) may develop after ureterovesical and rectal intervention or radiation therapy (RT) rarely, but it is associated with significant morbidity and mortality. The patient will typically present with pneumaturia, faecaluria, and urinary drainage from the rectum. Diagnosis can b...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2015/854365 |
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| author | Fahri Yetişir A. Ebru Şarer H. Zafer Acar Omer Parlak Gokhan Osmanoglu Gulen Karalova |
| author_facet | Fahri Yetişir A. Ebru Şarer H. Zafer Acar Omer Parlak Gokhan Osmanoglu Gulen Karalova |
| author_sort | Fahri Yetişir |
| collection | DOAJ |
| description | Rectourethral fistula (RUF) may develop after ureterovesical and rectal intervention or radiation therapy (RT) rarely, but it is associated with significant morbidity and mortality. The patient will typically present with pneumaturia, faecaluria, and urinary drainage from the rectum. Diagnosis can be easily done with digital rectal examination, cystography, and urethrocystoscopy. Conservative supportive management of RUF does not appear to be successful in most patients, and management with surgical intervention remains the best treatment option. Several surgical techniques have been described including transabdominal, transanal, transperineal, combined abdominoperineal, anterior and posterior transsphincteric, transsacral, laparoscopic, robotic, and endoscopic minimally invasive approaches. There have been very few data about treatment of recurrent RUF. We would like to report the management of recurrent RUF following transurethral resection of prostate and RT for prostate carcinoma in an immunosuppressed, 75-year-old patient by York Mason posterior transrectal transsphincteric approach. |
| format | Article |
| id | doaj-art-62243d62df66476db3b4a8724a9f60c1 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-62243d62df66476db3b4a8724a9f60c12025-02-03T06:10:48ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/854365854365Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric ApproachFahri Yetişir0A. Ebru Şarer1H. Zafer Acar2Omer Parlak3Gokhan Osmanoglu4Gulen Karalova5General Surgery Department, Atatürk Research and Training Hospital, TurkeyAnesthesiology and Reanimation Department, Atatürk Research and Training Hospital, TurkeyBozok University General Surgery Department, TurkeyGeneral Surgery Department, Atatürk Research and Training Hospital, TurkeyGeneral Surgery Department, Medical Park Private Hospital, TurkeyGeneral Surgery Department, Atatürk Research and Training Hospital, TurkeyRectourethral fistula (RUF) may develop after ureterovesical and rectal intervention or radiation therapy (RT) rarely, but it is associated with significant morbidity and mortality. The patient will typically present with pneumaturia, faecaluria, and urinary drainage from the rectum. Diagnosis can be easily done with digital rectal examination, cystography, and urethrocystoscopy. Conservative supportive management of RUF does not appear to be successful in most patients, and management with surgical intervention remains the best treatment option. Several surgical techniques have been described including transabdominal, transanal, transperineal, combined abdominoperineal, anterior and posterior transsphincteric, transsacral, laparoscopic, robotic, and endoscopic minimally invasive approaches. There have been very few data about treatment of recurrent RUF. We would like to report the management of recurrent RUF following transurethral resection of prostate and RT for prostate carcinoma in an immunosuppressed, 75-year-old patient by York Mason posterior transrectal transsphincteric approach.http://dx.doi.org/10.1155/2015/854365 |
| spellingShingle | Fahri Yetişir A. Ebru Şarer H. Zafer Acar Omer Parlak Gokhan Osmanoglu Gulen Karalova Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach Case Reports in Urology |
| title | Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach |
| title_full | Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach |
| title_fullStr | Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach |
| title_full_unstemmed | Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach |
| title_short | Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach |
| title_sort | management of recurrent rectourethral fistula by york mason posterior transrectal transsphincteric approach |
| url | http://dx.doi.org/10.1155/2015/854365 |
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