Rectourethral and Complex Fistulas: Evaluation and Management
Key Concepts
- Rectourethral fistula (RUF) is an uncommon but potentially devastating condition which may significantly impact a patient’s quality of life.
- Treatment of prostate cancer is most common etiology.
- Up to 45% of simple RUF may heal with fecal diversion alone.
- Ultimate repair may be quite complex, involving a multispecialty team approach over the course of several procedures.
- Surgical repair with interposition of well-vascularized tissue has good outcomes, though radiation confers higher risk for permanent fecal or urinary diversion.
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Last updated: January 26, 2022
Citation
Rakinic, Jan, and W. B Perry. "Rectourethral and Complex Fistulas: Evaluation and Management." ASCRS Textbook of Colon and Rectal Surgery, 2022. ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285006/all/Rectourethral_and_Complex_Fistulas:_Evaluation_and_Management.
Rakinic J, Perry WB. Rectourethral and Complex Fistulas: Evaluation and Management. ASCRS Textbook of Colon and Rectal Surgery. 2022. https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285006/all/Rectourethral_and_Complex_Fistulas:_Evaluation_and_Management. Accessed June 8, 2023.
Rakinic, J., & Perry, W. B. (2022). Rectourethral and Complex Fistulas: Evaluation and Management. In ASCRS Textbook of Colon and Rectal Surgery https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285006/all/Rectourethral_and_Complex_Fistulas:_Evaluation_and_Management
Rakinic J, Perry WB. Rectourethral and Complex Fistulas: Evaluation and Management [Internet]. In: ASCRS Textbook of Colon and Rectal Surgery. ; 2022. [cited 2023 June 08]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Textbook-of-Colon-and-Rectal-Surgery/2285006/all/Rectourethral_and_Complex_Fistulas:_Evaluation_and_Management.
* Article titles in AMA citation format should be in sentence-case
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AU - Perry,W.,
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BT - ASCRS Textbook of Colon and Rectal Surgery
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