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

PURPOSE: We report our experience with posterior sagittal, transanal, transrectal repair of rectourinary fistulas. MATERIALS AND METHODS: A total of 16 fistula repairs was done in 15 patients. RESULTS: 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. CONCLUSIONS: Our surgical approach for repair of rectourinary fistulas is simple, effective, associated with minimal morbidity and cost-effective.