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Title: Transperineal repair of rectourethral fistula: Surgical technique and a case report
Authors: Weerapat Suwanthanma
Wit Viseshsindh
Chakrapan Euanorasetr
Chairat Supsamutchai
Chalila Promtong
Mahidol University
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Keywords: Medicine
Issue Date: 1-Feb-2009
Citation: Journal of the Medical Association of Thailand. Vol.92, No.2 (2009), 296-299
Abstract: A 60-year old Thai male diagnosed as iatrogenic rectourethral fistula. Preoperative investigation with intravenous pyelogram revealed connection between urethra and rectum. Colonoscopy also revealed fistula opening at mid-rectum. He underwent surgery via transperineal approach. Intraoperative fistula localization was performed using Methylene blue injection via foley catheter. The fistula tract was identified and divided exposing blue-staining tract. Rectal opening and urethral opening were repaired. Fecal and urthral diversion were performed. Postoperative period was uneventful. The final pathologic report of fistula tract was fibrosis. The perineal and rectal wounds were healed without complication. The suprapubic cystostomy catheter was removed at the end of the second month together with the colostomy closure.
ISSN: 01252208
Appears in Collections:Scopus 2006-2010

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