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Case Reports in Urology
Volume 2015, Article ID 854365, 6 pages
http://dx.doi.org/10.1155/2015/854365
Case Report

Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach

1General Surgery Department, Atatürk Research and Training Hospital, Turkey
2Anesthesiology and Reanimation Department, Atatürk Research and Training Hospital, Turkey
3Bozok University General Surgery Department, Turkey
4General Surgery Department, Medical Park Private Hospital, Turkey

Received 29 September 2015; Accepted 24 November 2015

Academic Editor: Ferdinando Fusco

Copyright © 2015 Fahri Yetişir et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.