Posterior transsphincteric approach for surgery of the rectum

1981 ◽  
Vol 24 (3) ◽  
pp. 145-150 ◽  
Author(s):  
Francisco J. Criado ◽  
Theodore H. Wilson
Keyword(s):  
Transsphincteric Approach

ENDORECTAL ULTRASOUND GUIDED TRANSSPHINCTERIC APPROACH TO RECTAL PATHOLOGY

1996 ◽  
Vol 89 (Supplement) ◽  
pp. S26
Author(s):  
Paul R. Williamson ◽  
Sanjiv Patankar ◽  
Santiago Perozo ◽  
Martin Krecker ◽  
Sergio W. Larach ◽  
...  
Keyword(s):  
Endorectal Ultrasound ◽  
Ultrasound Guided ◽  
Transsphincteric Approach

Transsphincteric Approach to Lesions of the Rectum

1987 ◽  
Vol 80 (1) ◽  
pp. 41-43 ◽  
Author(s):  
BERNARD W. THOMPSON ◽  
W EVERETT TUCKER
Keyword(s):  
Transsphincteric Approach

scholarly journals Surgical Treatment of Iatrogenic Rectourinary Fistula—York-Mason Technique—a Case Report

ISRN Urology ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Pedro Bargão Santos ◽  
Fernando Ferrito ◽  
Rocha Pires
Keyword(s):  
Case Report ◽  
Radical Prostatectomy ◽  
Rare Complication ◽  
Contrast Enema ◽  
Urinary Fistula ◽  
Minimal Morbidity ◽  
Spontaneous Cure ◽  
Transsphincteric Approach ◽  
Urinary Fistulas ◽  
Rectourinary Fistula

Introduction. Recto-urinary fistulas resulting from trauma or surgery are a serious and debilitating complication. They represent a challenge not only because of the difficulty on choosing the best technique to solve them but also because of the risk of recurrence. Spontaneous cure is rare. Materials and Methods. We describe the case of a 61-years-old man that on the 9th postoperative day of a laparoscopic radical prostatectomy (LRP) started with fecaluria and liquid faeces. Recto-urinary fistula was confirmed at the 10th postoperative day by CT scan and contrast enema. Discussion. We chose the York-Mason technique, because it is simple to perform, effective and has minimal morbidity. This is a posterior, transrectal, and transsphincteric approach, carried out on healthy tissues without previous scarring phenomena. Results. The postoperative period progressed without complications, and the patient discharged on the 4th day. The closure of the fistula was confirmed radiologically by retrograde cystography after 4 weeks allowing the removal of drainage catheter. The reconstruction of intestinal transit was carried out 2 months later. Conclusion. The York-Mason technique, a transrectal and transsphincteric approach with minimal morbidity, proved to be effective on the resolution of the recto-urinary fistula, a rare complication of the radical prostatectomy.

scholarly journals Management of Recurrent Rectourethral Fistula by York Mason Posterior Transrectal Transsphincteric Approach

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Fahri Yetişir ◽  
A. Ebru Şarer ◽  
H. Zafer Acar ◽  
Omer Parlak ◽  
Gokhan Osmanoglu ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Surgical Techniques ◽  
Digital Rectal Examination ◽  
Rectourethral Fistula ◽  
Transurethral Resection Of Prostate ◽  
Urinary Drainage ◽  
Transsphincteric Approach ◽  
Patient Will ◽  
Few Data ◽  
Supportive Management

Rectourethral fistula (RUF) may develop after ureterovesical and rectal intervention or radiation therapy (RT) rarely, but it is associated with significant morbidity and mortality. The patient will typically present with pneumaturia, faecaluria, and urinary drainage from the rectum. Diagnosis can be easily done with digital rectal examination, cystography, and urethrocystoscopy. Conservative supportive management of RUF does not appear to be successful in most patients, and management with surgical intervention remains the best treatment option. Several surgical techniques have been described including transabdominal, transanal, transperineal, combined abdominoperineal, anterior and posterior transsphincteric, transsacral, laparoscopic, robotic, and endoscopic minimally invasive approaches. There have been very few data about treatment of recurrent RUF. We would like to report the management of recurrent RUF following transurethral resection of prostate and RT for prostate carcinoma in an immunosuppressed, 75-year-old patient by York Mason posterior transrectal transsphincteric approach.

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