Repair of Rectourinary Fistulas Using a Posterior Sagittal Transanal Transrectal (Modified York-Mason) Approach: An Update

Abstract

We report our experience with posterior sagittal, transanal, transrectal repair of rectourinary fistulas. A total of 16 fistula repairs was done in 15 patients. Of the fistulas 13 occurred after a variety of prostatic procedures, 1 after Y-V plasty and 1 after pelvic trauma (2 repairs were attempted in the latter case). Six patients underwent repair without colostomy. No patient experienced fecal or anal complications and all repairs were successful. Our surgical approach for repair of rectourinary fistulas is simple, effective, associated with minimal morbidity and cost-effective.