Editing Functional: Urinary Fistulae (section)

==== Management ====
* Most rectourethral fistula will require surgical repair, although some will close with conservative management.
* '''Rectourethral fistula that follows open or laparoscopic prostatectomy may heal spontaneously with catheter drainage, bowel rest, and intravenous hyperalimentation'''.
** '''In some cases, fecal diversion is necessary.'''
** '''Staged repairs might be considered in (5):'''
**# Large fistulae
**# Associated with radiation therapy
**# Uncontrolled local or systemic infection
**# Immunocompromised states
**# Inadequate bowel preparation at the time of definitive repair
* Transrectal approaches with and without division of the anal sphincter have been described for the operative repair of rectourethral fistula.
** '''The York-Mason procedure''' is a transrectal, transsphincteric approach that has been found to be effective and to have low morbidity