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[Surgical treatment of rectourinary fistulas: review of the literature].
Urologia. 2015 Jan-Mar; 82(1):30-5.U

Abstract

BACKGROUND

A rectourethral fistula (RUF) is an uncommon complication resulting from surgery, radiation, or trauma. Retrospective studies and case reports have highlighted different approaches for surgical repair.

OBJECTIVE

The aim of this study was to review our experience with surgical management of RUF.

DATA SOURCES

MEDLINE (PubMed, Ovid) and the Cochrane Library were searched by using the terms RUFs urethrorectal fistulas, and prostatourethral-rectal fistulas.

STUDY SELECTION

All studies were retrospective and in English. Of the records identified, 31 series were included.

RESULTS

Four hundred sixty-five patients were identified. Most patients underwent one of four categories of repair: transanal (4.7%), transabdominal (14.1%), transsphincteric (26.6%), and transperineal (57.6%). Tissue interposition flaps, predominantly gracilis muscle, were used in 56% of repairs. The fistula was successfully closed in 93.9% of patients.

CONCLUSIONS

Regardless of complexity, RUFs have an initial closure rate of 93.9%.

Authors+Show Affiliations

Dipartimento di Scienze Chirurgiche, Oncologiche e Gastroenterologiche - Clinica Urologica, Università degli Studi di Padova, Padova - Italy.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

ita

PubMed ID

25744705

Citation

Crestani, Alessandro, and Fabrizio Dal Moro. "[Surgical Treatment of Rectourinary Fistulas: Review of the Literature]." Urologia, vol. 82, no. 1, 2015, pp. 30-5.
Crestani A, Dal Moro F. [Surgical treatment of rectourinary fistulas: review of the literature]. Urologia. 2015;82(1):30-5.
Crestani, A., & Dal Moro, F. (2015). [Surgical treatment of rectourinary fistulas: review of the literature]. Urologia, 82(1), 30-5. https://doi.org/10.5301/uro.5000111
Crestani A, Dal Moro F. [Surgical Treatment of Rectourinary Fistulas: Review of the Literature]. Urologia. 2015 Jan-Mar;82(1):30-5. PubMed PMID: 25744705.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of rectourinary fistulas: review of the literature]. AU - Crestani,Alessandro, AU - Dal Moro,Fabrizio, Y1 - 2015/03/03/ PY - 2014/12/01/accepted PY - 2015/3/7/entrez PY - 2015/3/7/pubmed PY - 2016/12/20/medline SP - 30 EP - 5 JF - Urologia JO - Urologia VL - 82 IS - 1 N2 - BACKGROUND: A rectourethral fistula (RUF) is an uncommon complication resulting from surgery, radiation, or trauma. Retrospective studies and case reports have highlighted different approaches for surgical repair. OBJECTIVE: The aim of this study was to review our experience with surgical management of RUF. DATA SOURCES: MEDLINE (PubMed, Ovid) and the Cochrane Library were searched by using the terms RUFs urethrorectal fistulas, and prostatourethral-rectal fistulas. STUDY SELECTION: All studies were retrospective and in English. Of the records identified, 31 series were included. RESULTS: Four hundred sixty-five patients were identified. Most patients underwent one of four categories of repair: transanal (4.7%), transabdominal (14.1%), transsphincteric (26.6%), and transperineal (57.6%). Tissue interposition flaps, predominantly gracilis muscle, were used in 56% of repairs. The fistula was successfully closed in 93.9% of patients. CONCLUSIONS: Regardless of complexity, RUFs have an initial closure rate of 93.9%. SN - 1724-6075 UR - https://www.unboundmedicine.com/medline/citation/25744705/[Surgical_treatment_of_rectourinary_fistulas:_review_of_the_literature] L2 - http://journals.sagepub.com/doi/full/10.5301/uro.5000111?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -