Objective: To report our experience for the management of urethro-rectal fistula by the York Mason technique.
Patients and methods: We retrospectively analyzed the data of patients treated surgically for FUR by the technique of York Mason, between 2000 and 2012.
Results: Seventeen patients were included in the study. All patients had a bowel diversion before surgery. We observed four recurrences of FUR (23.5%). Recurrences occurred in a radiation field for two patients and in a oncologic recurrence for 1 patient. The fourth recurrence was treated by a second procedure of York Mason successfully.
Conclusion: In our study, the York Mason technique was safe and reproducible for the treatment of FUR. The main factor of failure was a history of pelvic radiotherapy.
Keywords: Cancer de la prostate; Fistule rectale; Fistule urinaire; Prostate cancer; Radiotherapy; Radiothérapie; Rectal fistula; Surgical injuries; Traumatismes chirurgicaux; Urinary fistula.
Copyright © 2013. Published by Elsevier Masson SAS.