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Correction of Rectourethral Fistula: York-Mason Surgery, Principlesand Surgical Technique

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Bibliographic Details
Summary:We aimed to describe, classify, systematize and standardize the performance of the York-Mason technique in patients who present a fistula after trauma due to a gunshot wound and more common cases that occur, such as complications after a retrophic radical prostatectomy. Three patients presented with retouteral fistula. One of them presented retouteral fistula after a gunshot wound. Two cases after radical prostatectomy, but one was associated with radiotherapy. All patients underwent surgical procedures and were prospectively evaluated between 2016 and 2018. The retouteral fistula was assessed using the classification proposed by Rivera, who underwent transsphencteric repair of retouteral fistula using the York-Mason technique. We can conclude that the resolution of retouteral fístulas is feasible, easily reproduced and evolves with few and mild complications.
Main Authors:Dall'Oglio, Marcos Francisco
Other Authors:Martins e Silva, Cassius; Covre Argolo , Hermano; Beserra Sousa , Rodrigo; Hurtado , Bruno; Matsumoto , Fabiano; Budib , Luis; Marcos Dall'Oglio, Marcos Francisco Dall'Oglio
Subject:Rectal Fistula/surgery Treatment Outcome Urinary Fistula/surgery Urologic Surgical Procedures
Year:2026
Country:Portugal
Document type:article
Access type:unknown
Associated institution:Associação Portuguesa de Urologia
Language:English
Origin:Acta Urológica Portuguesa
Description
Summary:We aimed to describe, classify, systematize and standardize the performance of the York-Mason technique in patients who present a fistula after trauma due to a gunshot wound and more common cases that occur, such as complications after a retrophic radical prostatectomy. Three patients presented with retouteral fistula. One of them presented retouteral fistula after a gunshot wound. Two cases after radical prostatectomy, but one was associated with radiotherapy. All patients underwent surgical procedures and were prospectively evaluated between 2016 and 2018. The retouteral fistula was assessed using the classification proposed by Rivera, who underwent transsphencteric repair of retouteral fistula using the York-Mason technique. We can conclude that the resolution of retouteral fístulas is feasible, easily reproduced and evolves with few and mild complications.

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