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Prostatorectal Fistulas

  • P. Graber
Chapter

Abstract

Prostatorectal fistula is a rare condition. Major clinical descriptions are not found in the literature where the problem is mostly dealt with in the form of case reports. This has not always been so. The earliest known observation of such a fistula was described by Wag-nerum in 1685, and the first attempts at surgical closure were made early in the last century, namely by Ashley Cooper in 1823. Surgical treatment of the condition was always regarded as difficult and involving many obstacles and complications. This situation can be explained in part by the paucity of suitable technical aids at the time, but it must also be borne in mind that these historical cases had little in common with those encountered today. At the present time we are usually confronted with single fistulas in a more or less healthy terrain, whereas in the past the patients presented with complicated fistulas marked by sinuosities and irregularities, and accompanied by abscesses with multiple openings.

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References

  1. 1.
    Badenoch AW (1950) A pull-through operating for impassable traumatic stricture of the urethra. Br J Urol 22:404–408PubMedCrossRefGoogle Scholar
  2. 2.
    Blandy JP, Singh M, Tresidder GC (1968) Urethroplasty by scrotal flap for long urethral strictures. Br J Urol 40:261–267PubMedCrossRefGoogle Scholar
  3. 3.
    Johanson B (1953) Reconstruction of the male urethra in strictures. Acra Chirurg Scand [Suppl] 176Google Scholar
  4. 4.
    Jordan GH, Lynch DF, Warden SS, McCraw JD, Hoffmann GC, Schellhammer PF (1985) Major rectal complication following interstitial implanation of 125 iodine for carcinoma of the prostate. J Urol 134: 1212–1214PubMedGoogle Scholar
  5. 5.
    Kilpatrick FR, Mason AY (1969) Post-operative rectopro-static fistula. Br J Urol 41: 649–654PubMedCrossRefGoogle Scholar
  6. 6.
    Kuss R, Chatelain C, Jardin A, Gorin JP (1973) Traitement des fistules prostato-rectales apres chirurgie de la prostate. (Interet de l’abord posterieur trans-anosphinterien et transrectal): J Chir (pans) 105 (2): 109–124Google Scholar
  7. 7.
    Mason AY (1974) Transsphincteric surgery of the rectum. Prog Surg 13: 66–97PubMedGoogle Scholar
  8. 8.
    Olsson CA, Willscher MK, Krane RJ, Austen G Jr (1976) Management of prostatic fistulas. Urol Surv 25: 135–143Google Scholar
  9. 9.
    vidal Sans J, Palou Redorta J, Pradell Teigell J, Banus Gassol JM (1985) Management and treatment of eighteen recto-uretral fistulas. Eur Urol 11: 300–305Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

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  • P. Graber

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