Editorial Comment

Abstract

This report represents a 5-year surgical experience with the posterior sagittal pararectal approach with rectal mobilization for the repair of rectourethral fistula (RUF). The etiology of the RUFs varied: 2 from pelvic fractures and 6 from complications of surgery. All were successful in closing the RUF, and 1 patient was left with urinary incontinence. In addition, these surgeons describe the use of an interposition vascularized pedicle graft using gluteus maximus muscle for an interposition flap. The hospital stay was long, with an average of 16 days. ReplyUrologyVol. 73Issue 5PreviewAlthough RUF is a single pathologic entity, it has a multiple underlying etiologies and varying degrees of difficulty. The complexity of the fistula necessitates much effort in dissection, surgical tissue handling, and resection of extensive fibrosis and lost or devascularized tissues. The association of urethral pathologic findings requires concomitant handling of the lost urethral segment and well-vascularized muscle flap interposition between the rectum and urethra. Full-Text PDF Posterior Sagittal Pararectal Approach With Rectal Mobilization for Repair of Rectourethral Fistula: An Alternative ApproachUrologyVol. 73Issue 5PreviewTo present this clinical series to report our initial experience with our technique as an alternative approach for treatment of rectourethral fistulas (RUFs). RUFS are a devastating complication of the urinary tract. The most appropriate approach remains controversial. Full-Text PDF