Review Article
Rectourinary Fistula after Radical Prostatectomy: Review of the Literature for Incidence, Etiology, and Management
Table 1
Posterior approaches to RUF.
| | York-Mason | Kraske |
| Approach Position | Transsphincteric prone jackknife | Transsacral prone jackknife |
| | (1) Incision from the sacrococcygeal articulation to the anal verge | (1) Paracoccygeal incision 2–10 cm from the anal verge | | (2) Transection of entire sphincter complex in a layer-by-layer fashion | (2) Dissect down to and divide the anococcygeal ligament | Procedure | (3) Pairs of marking sutures at the mucocutaneous junction for resuture | (3) Resection of S4, S5, and coccyx | | (4) Midline division of the mucosa of the anus and the full thickness of the posterior rectal wall | (4) Midline division of the Waldeyer’s fascia | | (5) Sleeve resection or proctotomy | (5) Sleeve resection or proctotomy |
| Complications | Fecal incontinence, fecal fistula | Fecal fistula |
|
|