The York-Mason technique for recto-urethral fistulas

The York-Mason technique for recto-urethral fistulas

Alternative title Correção de fistula reto-uretral pela técnica de York-Mason
Author Crippa, Alexandre Autor UNIFESP Google Scholar
Dall'Oglio, Marcos Francisco Autor UNIFESP Google Scholar
Nesrallah, Luciano João Autor UNIFESP Google Scholar
Hasegawa, Endric Autor UNIFESP Google Scholar
Antunes, Alberto Azoubel Autor UNIFESP Google Scholar
Srougi, Miguel Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract OBJECTIVE: Recto-urethral fistula formation following radical prostatectomy is an uncommon but potentially devastating event. There is no consensus in the literature regarding the treatment of these fistulas. We present here our experiences treating recto-urethral fistulas.MATERIAL AND METHODS: We analyzed 8 cases of rectourethral fistula treated at our institution in the last seven years. Seven of the patients underwent repair of the fistula using the modified York-Mason procedure.RESULTS: The causes of the fistula were radical retropubic prostatectomy in five patients, perineal debridement of Fournier's gangrene in one, transvesical prostatectomy in one and transurethral resection of the prostate in the other patient. The most common clinical manifestation was fecaluria, present in 87.5% of the cases. The mean time elapsed between diagnosis and correction of the fistula was 29.6 (7-63) months. One spontaneous closure occurred after five months of delayed catheterization. Urinary and retrograde urethrocystography indicated the site of the fistula in 71.4% of the cases. No patient presented recurrence of the fistula after its correction with the modified York-Mason procedure.CONCLUSION: The performance of routine colostomy and cystostomy is unnecessary. The technique described by York-Mason permits easy access, reduces surgical and hospitalization times and presents low complication and morbidity rates when surgically correcting recto-urethral fistulas.
Keywords fistula
prostate
urological surgical procedures
diagnostic surgical techniques
Language English
Date 2007-12-01
Published in Clinics. Sao Paulo: Hospital Clinicas, Univ Sao Paulo, v. 62, n. 6, p. 699-704, 2007.
ISSN 1807-5932 (Sherpa/Romeo, impact factor)
Publisher Hospital Clinicas, Univ Sao Paulo
Extent 699-704
Origin http://dx.doi.org/10.1590/S1807-59322007000600007
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000254321300007
SciELO ID S1807-59322007000600007 (statistics in SciELO)
URI http://repositorio.unifesp.br/11600/43393

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