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Transsphincteric Repair of Rectourethral Fistulas in Combination With Dartos Muscle Flap Interposition Following Radical Prostatectomy.

Urology

September 2024

Colorectal Unit, Department of Surgery and Urology, Eskilstuna County Hospital, Eskilstuna, Sweden. Electronic address:

Objective: To present our experience with a novel technique that combines the York-Mason transsphincteric approach with dartos muscle flap interposition to treat rectourethral fistulas.

Methods: We extracted records from our prospectively kept database of 35 procedures conducted for treating rectourethral fistulas during 2002-2023; the York-Mason approach was combined with dartos muscle flap interposition in 5 cases, performed for treating rectourethral fistulas due to radical prostatectomy, all of which were referral cases.

Results: All 5 patients were successfully treated and followed up for a median of 70.

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Management of rectal injury and rectourinary fistula from radical prostatectomy.

Urol Ann

November 2022

Division of Urology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Objective: This study aimed to demonstrate our management of rectal injury (RI) and rectourinary fistula (RUF) from radical prostatectomy (RP) and identify a possible factor that increased the chance of developing RUF.

Materials And Methods: Between January 2011 and December 2019, a total of 14 cases of RI were retrospectively reviewed and analyzed, including preoperative, perioperative, and postoperative information.

Results: In all 14 cases of RI, the average age at RP was 66.

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Long term outcome of multidisciplinary management of urethro-rectal fistula after urologic surgery.

J Visc Surg

April 2023

Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver transplant, Trousseau Hospital, C.H.U de Tours, avenue de la République, Chambray les Tours, Tours, France. Electronic address:

Unlabelled: Urethro-rectal fistula (URF) is a rare but serious condition whose treatment is poorly codified. This study aims to evaluate the short and long-term results of multidisciplinary management.

Material And Methods: We retrospectively collected the records of patients with URF operated on at the University Hospital of Tours between January 1, 2000 and January 1, 2020.

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Objective: To evaluate the effect of the York-Mason procedure (posterior sagittal approach) in the treatment of urethrorectal fistula.

Methods: Ten 15-80 (mean 54) years old male patients with urethrorectal fistula were treated by the York-Mason procedure, 3 by anoplasty for congenital anal atresia, 5 by laparoscopic radical prostatectomy, and the other 2 by radical rectal cancer resection. All the cases were single fistula with a history of 3 months to 18 years.

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[Rectourethral fistula treatment using the modified York Mason technique: Failure factors assessment].

Prog Urol

February 2022

Service d'urologie, institut mutualiste Montsouris, 42, boulevard Jourdan, 75014 Paris, France.

Objectives: To assess surgical outcomes and failure factors in the management of rectourethral fistulas treated surgically with the modified York Mason technique based on our center's 25 years of experience.

Methods: From 1997 to 2021, in a single center study, a total of 35 consecutive patients, underwent rectourethral fistula cure, using the modified York Mason technique. Preoperative patient data, surgical outcomes and failure factors were assessed.

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