The management of acquired rectourinary fistula
- 1 October 1982
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Diseases of the Colon & Rectum
- Vol. 25 (7), 689-692
- https://doi.org/10.1007/bf02629542
Abstract
Rectourinary fistula is an uncommon entity with many causes for which the optimal management remains unclear. To clarify this, a 50-year experience with acquired rectourinary fistula at the Mayo Clinic was reviewed. In the management of 57 patients, 34 patients underwent repair of rectourinary fistula, the success rate being 88 per cent and the morbidity 29 per cent. Based on this experience, a simple plan of management emphasizing etiologic and prognostic factors is presented. Repair of rectourinary fistulas can be undertaken with a high degree of success and acceptable morbidity for patients with fistulas of benign cause and for those with fistulas of malignant cause who have no gross evidence of malignancy, minimal induration from irradiation, and anticipated long-term survival. Colostomy as an adjunctive procedure is usually unnecessary in the repair of fistulas associated with benign conditions.Keywords
This publication has 10 references indexed in Scilit:
- Urinary complications of Crohn's diseaseWorld Journal of Surgery, 1980
- Gracilis Muscle Flap for Closure of Rectourethral FistulaJournal of Urology, 1979
- The management of a fistula between the rectum and the lower urinary tractJournal of Pediatric Surgery, 1979
- A New Surgical Approach to Traumatic Rectourethral FistulasJournal of Urology, 1978
- A successful repair of a recto-urethral fistula: A case reportBritish Journal of Surgery, 1977
- Dorsal Rectotomy and Full Thickness Skin Graft for Repair of Prostatic Urethrorectal FistulaJournal of Urology, 1975
- The Surgical Management of Rectourinary Fistulas Resulting from a Prostatic Operation: A Report of 5 CasesJournal of Urology, 1974
- A Variety of Rectourethral Fistulas: Experiences with 20 CasesJournal of Urology, 1964
- Rectourinary Fistula: Principles of Management and A Technique of Surgical ClosureJournal of Urology, 1958
- Repair of Recto-Urethral FistulasJournal of Urology, 1947