Vegan diets may confer a lower risk of prostate cancer. This lower estimated risk is seen in both white and black vegan subjects, although in the latter, the CI is wider and includes the null.

0 9 5What ' s known on the subject? and What does the study add? Our previous report, almost 10 years ago, on the York-Mason procedure was the largest series on this procedure. That report concluded that the York-Mason posterior, trans-anal, trans-rectal correction of iatrogenic recto-urinary fi stula was highly successful, reliable and safe -when employed for small fi stulas following prostate surgery. Since then, many other smaller case series have confi rmed our success.This study provides a continuing body of evidence of the success, reliability, and safety by the largest York-Mason series in the literature, and our numbers have now doubled in less than 10 years. Avoiding preliminary fecal diversion after surgical injury, which we proposed on our previous report, has now been observed to be safe and reliable with long-term follow up. We also tried to push the limits of the surgery into larger, radiated fi shtulas, but unfortunately were met with poorer outcomes. OBJECTIVE• To review the use of the York-Mason transanal, transrectal procedure, used in properly selected patients over a 40-year period, for repairing recto-urinary fi stulae. PATIENTS AND METHODS• We retrospectively reviewed the medical records of all patients who underwent acquired recto-urethral or rectovesical fi stula repair at our institution.• A total of 51 patients have undergone York-Mason recto-urinary fi stula repair at our institution during this time. RESULTS• Since our last report in 2003, we have performed this procedure an additional 27 times.• We continue to have good results, with 25 of these patients having resolution of their fi stulae after one procedure.• Failures in the updated cohort were radiation-induced fi stulae.• We continue to fi nd no evidence of faecal incontinence or stenosis after this procedure. CONCLUSIONS• Over a period of 40 years, the YorkMason posterior, transanal, transrectal correction of iatrogenic recto-urinary fi stula has been highly successful, reliable and safe, when used for fi stulae occurring after prostate surgery.• Preliminary faecal diversion can often be avoided in selected patients. KEYWORDSYork-Mason , recto-urinary , recto-urethral , fi stula Study Type -Therapy (case series) Level of Evidence 4

In experienced hands, VUAR can restore durable patency for men afflicted with outlet stenosis after RP. Despite anatomic restoration, incontinence is likely.

No abstract

A laparoscopic approach for KISS catheter placement is a technically feasible and advantageous technique when placing a stent for a pyeloplasty repair. This eliminates a trip back to the operating room for stent removal in the pediatric population and likely decreases bladder irritation.