Operative techniques and application in treating rectourethral fistula with transanal minimally invasive surgery

VernacularTitle:经肛微创手术治疗直肠尿道瘘的操作技术与应用
Author: Longci SUN ¹ ; Lei GU
Author Information

1. 上海交通大学医学院附属仁济医院胃肠外科，上海　200127
Keywords: Rectal fistula; Urinary fistula; Surgical procedures, minimally invasive
From: International Journal of Surgery 2023;50(9):577-580,F3
CountryChina
Language:Chinese
Abstract: Rectourethral fistula (RUF) is a kind of intractable disease with special anatomical site, complex condition, and even serious infection. The common causes are iatrogenic trauma after radical prostatectomy, pelvic trauma and injury after local radiotherapy. At present, surgical approaches for RUF include transperineal approach, transsphincter approach, transabdominal approach and transanal approach.Traditional surgical treatment has the limitations of large trauma, high incidence of complications and slow recovery. Transanal minimally invasive surgery (TAMIS) for RUF has the characteristics of simple operation, small trauma and quick recovery. The purpose of this paper is to introduce the methods and experience of RUF treatment with TAMIS.