Traitement des fistules uréthro-rectales par voie trans-anorectale de York Mason : technique et résultats

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To report our experience for the management of urethro-rectal fistula by the York Mason technique. We retrospectively analyzed the data of patients treated surgically for FUR by the technique of York Mason, between 2000 and 2012. Seventeen patients were included in the study. All patients had a bowel diversion before surgery. We observed four recurrences of FUR (23.5%). Recurrences occurred in a radiation field for two patients and in a oncologic recurrence for 1 patient. The fourth recurrence was treated by a second procedure of York Mason successfully. In our study, the York Mason technique was safe and reproducible for the treatment of FUR. The main factor of failure was a history of pelvic radiotherapy.