Techniques in Coloproctology

, Volume 23, Issue 8, pp 787–788 | Cite as

Delayed presentation of rectourethral fistula following TaTME (transanal total mesorectal excision)

  • F. TirelliEmail author
  • M. Grieco
  • A. Biondi
  • F. Belia
  • R. Persiani

Dear Sir

Performing transanal total mesorectal excision (TaTME) is, initially, challenging for almost every surgeon, even experienced colorectal surgeons. Some authors suggest a minimum of 30–40 cases to complete the learning curve and become confident with the surgical technique, for surgeons who are already well trained in minimally invasive surgery [1].

Moreover, major complications have been reported following TaTME [2]. We describe a case of urethral injury with delayed presentation following TaTME in an 87-year-old male (body mass index 30.12 kg/m2) with a past medical history significant for hypertension, hypercholesterolemia, chronic obstructive pulmonary disease, and benign prostatic hypertrophy. He underwent a TaTME with diverting ileostomy due to a low rectal adenocarcinoma on December 2017.

The procedure was a standard TaTME with a difficult anterior plane related to an uncommon acute angle between the anal canal and a large hypertrophic prostate. The procedure ended with a...


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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study formal consent is not required.

Supplementary material

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Supplementary material 1 (PNG 4738 kb)
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Supplementary material 2 (JPEG 1800 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.General Surgery DepartmentFondazione Policlinico Universitario A. Gemelli IRCCS, RomaRomeItaly
  2. 2.General Surgery DepartmentFondazione Policlinico Universitario A. Gemelli IRCCS, Roma-Università Cattolica del Sacro CuoreRomeItaly

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