AUA 2017: Quality of life among men after after Rectourethral fistula repair

Boston, MA ( The University of Washington presented their data on quality of life in men after repair of a rectal urethral fistula. The series had 21 patients. In the post-op period, patients with a history of radiation had a 30% rate of Grade III or higher complications versus 10% in the non-radiated patient.

At a mean follow-up period of three years, 71% of patients had experienced urinary incontinence after the RUF repair. Eleven patients went on to successfully have an AUS placed. Forty-five percent were able to have the fecal diversion reversed and 10% of patients reported fecal incontinence. Over half of the patients experienced perineal pain and 43% reported problems related to the gracilis flap. Eighty-seven percent of patients would have the procedure again.

A limitation of this project was the lack of baseline quality of life or pain scores, which will be studied in the future.

Written By: Lisa Parrillo, MD, Genitourinary Reconstructive Surgery Fellow, University of Colorado

at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA

Newsletter subscription

Free Daily and Weekly newsletters offered by content of interest

The fields of GU Oncology and Urology are rapidly advancing. Sign up today for articles, videos, conference highlights and abstracts from peer-review publications by disease and condition delivered to your inbox and read on the go.