Recto-uretral fistulas management with the York Mason procedure: Surgical techniques and outcomes [Traitement des fistules uréthro-rectales par voie trans-anorectale de York Mason: Technique et résultats]

摘要

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 2000and 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 1patient. 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.