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