Parks’ Per-Anal Repair of Recto-Prostatic Fistula

  • R. W. Motson
  • R. C. Tiptaft
  • J. P. Blandy
Conference paper


Recto-prostatic fistulae are fortunately rare. They most frequently occur as a complication of prostatectomy and, less often, following trauma or congenitally. Fistulae have occurred after perineal, transvesical, retropubic and trans-urethral resections of the prostate. Sometimes the fistula is noticed during prostatectomy, but most will not be diagnosed until the urethral catheter is removed and urine passes through the fistula into the rectum. Most patients are unable to maintain anal continence and faeces and flatus may also pass into the urethra. A small fistula may close after a period of catheter drainage, but if the fistula is still present on removal of the catheter 4 to 6 weeks later spontaneous closure is unlikely.


Rectal Wall Urethral Catheter Urethral Stricture Retropubic Prostatectomy Colostomy Closure 
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  1. 1.
    Lewis LG (1947) Repair of recto-urethral fistulas. J Urol 57:1173–1181PubMedGoogle Scholar
  2. 2.
    Vose SN (1949) A technique for the repair of recto-urethral fistula. J Urol 61: 790–794PubMedGoogle Scholar
  3. 3.
    Johnson WR, Druitt D, Masterton JP (1981) Anterior rectal advancement flap in the repair of benign recto-prostatic fistula. Aust NZ J Surg 51: 383–385CrossRefGoogle Scholar
  4. 4.
    Wilhelm SF (1944) Rectourinary fistula. Surg Gynecol Obstet 79: 427–433Google Scholar
  5. 5.
    Weyrauch HM (1951) A critical study of surgical principles used in repair of rectourethral fistula. Presentation of a modern technique. Stanford Med Bull 9: 2–12PubMedGoogle Scholar
  6. 6.
    Goodwin WE, Turner RD, Winter CC (1958) Rectourinary fistula: principles of management and a technique of surgical closure. J Urol 80: 246–254PubMedGoogle Scholar
  7. 7.
    Culp OS, Cahoon HW (1964) A variety of recto-urethral fistulae experiences with 20 cases. J Urol 91:560–571PubMedGoogle Scholar
  8. 8.
    Wesolowski S, Bulinski W (1973) Vesico-intestinal fistulae and recto urethral fistulae. Br J Urol 45:34–38PubMedCrossRefGoogle Scholar
  9. 9.
    Kilpatrick FR, Mason AY (1969) Post-operative recto-prostatic fistula. Br J Urol 41:649–654PubMedCrossRefGoogle Scholar
  10. 10.
    Dahl DA, Howard PM, Middleton RG (1974) The surgical management of rectourinary fistulas resulting from a prostatic operation: a report of 5 cases. J Urol 111: 514–517PubMedGoogle Scholar
  11. 11.
    Mason AY, Kilpatrick FR (1973) Recto-prostatic and recto-urethral fistulae. Proc R Soc Med 66:245–246PubMedGoogle Scholar
  12. 12.
    Beneventi FA, Casselbaum WH (1971) Rectal flap repair of prostatorectal fistula. Surg Gynecol Obstet 133: 489–492PubMedGoogle Scholar
  13. 13.
    Morgan C Jr (1975) Dorsal rectotomy and full thickness skin graft for repair of prostatic urethrorectal fistula. J Urol 113: 207–208PubMedGoogle Scholar
  14. 14.
    Kilpatrick FR, Thompson HR (1962) Post-operative recto-prostatic fistula and closure by Kraske’s approach. Br J Urol 34: 470–474PubMedCrossRefGoogle Scholar
  15. 15.
    Young HH, Stone HB (1917) The operative treatment of urethro-rectal fistula. Presentation of a method of radical cure. J Urol 1: 289–317Google Scholar
  16. 16.
    Hampton JM, Bacon HE (1961) Diagnosis and management of recto-urethral fistulas. Dis Colon Rectum 4:1 77–180CrossRefGoogle Scholar
  17. 17.
    Miller W (1977) A successful repair of a recto-urethral fistula: a case report. Br J Surg 64: 869–891PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1984

Authors and Affiliations

  • R. W. Motson
  • R. C. Tiptaft
  • J. P. Blandy

There are no affiliations available

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