[Recto-urethral fistula following prostatectomy: surgical repair using a combined perineal and laparoscopic approach. Procedure and results of two cases]

Prog Urol. 2009 Jun;19(6):434-7. doi: 10.1016/j.purol.2009.01.005. Epub 2009 Apr 8.
[Article in French]


Purpose: RUF is a rare occurrence usually following radical prostatectomy. We report our short experience and outcomes with the repair of Iatrogenic Recto-urinary fistula using a combined laparoscopic and perineal approach.

Patients and methods: We retrospectively reviewed the medical records of our patients who underwent lately a combined approach using laparoscopic and perineal procedure. Two patients in our unit underwent a RUF repair associating a laparoscopic mobilization of the omentum and a perineal closure. A temporary colostomy was performed at the time of RUF diagnosis and closed few weeks after the RUF repair procedure. Procedure time was 255mn. Blood loss was short and no transfusion was required.

Results: All fistulae were closed within a short hospitalization time and an easy outcome. The delay between the diagnosis and the final closure of the colostomy was reduced to 3 months in our short experience.

Conclusion: The procedure is safe and provides nice exposure and a thick and very well vascularized flap. Shortening the management of this complication after reduces the anxiety of the patients and his medical team.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Humans
  • Laparoscopy / methods*
  • Male
  • Middle Aged
  • Prostatectomy / adverse effects*
  • Rectal Fistula / etiology
  • Rectal Fistula / surgery*
  • Retrospective Studies
  • Urinary Fistula / etiology
  • Urinary Fistula / surgery*