Combined Endoscopic Closure of Rectourethral Fistula

Abstract

Any open procedure to correct a rectourethral fistula is considered major surgery. Therefore, the minimally invasive approach described should be attempted first in patients with a small rectourethral fistula.

Rectal Advancement Flap Repair of Rectourethral Fistula

“…5,6 As with any rare or complicated surgical problem, many types of repairs have been described, including transperineal, transsphincteric, and transanal flap repairs; gracilis muscle interposition; transabdominal repair; and transanal endoscopic repair. [7][8][9][10][11][12] These repairs are supported by data from many studies. [13][14][15][16][17][18] Other studies report modified repairs including a combination of the transsphincteric approach with advancement flap closure, combination rectal advancement flap and gracilis muscle interposition, transsphincteric approach without diversion, and perineal approach with gracilis muscle interposition.…”

Transanal endoscopic microsurgery for surgical repair of rectovesical fistula following radical prostatectomy

“…Wilbert et al [11] reported 2 cases with a rectourethral fistula which was successfully corrected by TEM. The most important advantage in using TEM, we think, is the fact that visualization of the fistula is excellent without any incision in healthy tissue such as in York-Mason procedure or perineal approach.…”

Management of rectourinary fistula after urological interventions using biodesigned mesh: first experiences of an innovative technique

“…Recurrent RUF may require patients to be subjected to permanent urinary and fecal diversion [8]. Hence, many different surgical options for fistula repair have been reported including multiple approaches, such as abdominal, vesical, sagittal, and perineal [9][10][11][12][13]. Castillo et al for instance presented a anterior transanal, transsphincteric sagittal approach for fistula repair after laparoscopic radical prostatectomy.…”