Rectourethral fistula: A challenging management problem

Abstract

Aim

To describe the problems and management of rectourethral fistulas.

Background

Rectourethral fistula constitutes a rare entity that poses a challenging management problem. The condition is either congenital or acquired. The clinical findings suggestive of RUF include pneumaturia, faecaluria, and urine leakage per rectum.

Methods

This study was based on English research literature, mainly by searching PubMed bibliographic database.

Results

Diagnosis of a rectourethral fistula is difficult and often based on history alone. In rare cases, non-operative management has been successful, but the majority of patients require surgical intervention. A wide variety of procedures have been described for RUF repair.

Conclusion

Rectourethral fistula represents a complex management problem for any surgeon. Surgical treatment of RUF is technically demanding and requires collaboration with rectal surgeons.

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