Acquired Rectourethral and Rectovaginal Fistulas in Children: A Systematic Review

Rectourethral Fistulas: A Review

Rectourethral fistula is an uncommon but challenging disease that may have a congenital or acquired origin. The most frequent etiologies are traumatic and iatrogenic. In the last decades the widespread use of radiation therapy for prostate cancer led to an increase of complex cases. The diagnostic work up is usually not demanding. Spontaneous closure can be achieved after single or double diver...

Abstract: Flap Reconstruction of Rectovaginal and Rectourethral Fistulas: A 20-Year Experience at Mayo Clinic

RESULTS: Fourteen patients were identified. Median operating time for the PTO flap was 49 min. There were no cases of flap loss, donor site morbidity or major wound complications. Superficial skin dehiscence and perineal hernia formation were reported in 2 patients respectively. None of the patients developed chronic perineal pain. All patients reported excellent satisfaction with the aesthetic...

Considerations before repair of acquired rectourethral and urethrovaginal fistulas in children.

BACKGROUND Acquired rectourethral or urethrovaginal fistula between the rectum or vaginal and lower urinary tract is an uncommon entity, which occurs as a consequence of pelvic disorder, including trauma, iatrogenic injury, inflammatory bowel disease, pelvic neoplasm or infection. But when is it appropriate to repair the fistula and what methods to be chosen? There has been no consensus on them...

Rectovaginal fistulas.

Benign Anorectal: Rectovaginal Fistulas

Obstetric injury is the most frequent cause of acquired rectovaginal fistulas but infection and other forms of trauma may also result in these fistulas. After an obstetric injury, the fistula may be manifest immediately but more frequently appears 7–10 days after delivery. Fistulas occur most often after a thirdor fourth-degree laceration. Inadequate repair, breakdown of the repair, or infectio...