Review Article

Rectourinary Fistula after Radical Prostatectomy: Review of the Literature for Incidence, Etiology, and Management

Table 1

Posterior approaches to RUF.

York-MasonKraske

Approach PositionTranssphincteric prone jackknifeTranssacral 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

ComplicationsFecal incontinence, fecal fistulaFecal fistula