Views: 1,502 | Downloads:
21
| Responses: 0
| XML | Respond to this article | Alert & updates | Request permissions | Email to a friend |
Case ReportOpen Access
Tube-Flap for Management of Complex Recto-Urinary Fistula with York Mason Technique : A Case Report
Limkuansuwan P 
Recto-urinary fistula results as a complication following trauma to the penmum and
pel vis. These fistulas are difficult to treat and have a high recurrence rate due to the difficult
surgical approach in repairing them. Both the transabdominal or transperineal approaches used
in repairing these fistulas are difficult and provide only limited exposure to the fistula being
repaired. In the case report, we present a patient with complex recto-urinary fistula due to trauma
to the pelvis
20
years previously. In this patient we used the transphincteric York Mason
approach to directly approach the fistula, followed by construction of a tube flap connecting
the bladder and the urethra. The technique is simple, easy and the outcome has been excellent
after
4
years of follow-up.
Key word
: Recto-Urinary Fistula, Recto-Vesical Fistula, Recto-Urethral Fistula, Transphincteric
Approach, York Mason Technique
pel vis. These fistulas are difficult to treat and have a high recurrence rate due to the difficult
surgical approach in repairing them. Both the transabdominal or transperineal approaches used
in repairing these fistulas are difficult and provide only limited exposure to the fistula being
repaired. In the case report, we present a patient with complex recto-urinary fistula due to trauma
to the pelvis
20
years previously. In this patient we used the transphincteric York Mason
approach to directly approach the fistula, followed by construction of a tube flap connecting
the bladder and the urethra. The technique is simple, easy and the outcome has been excellent
after
4
years of follow-up.
Key word
: Recto-Urinary Fistula, Recto-Vesical Fistula, Recto-Urethral Fistula, Transphincteric
Approach, York Mason Technique
Download:
PDF