Transperineal repair with bulbocavernosus muscle interposition for recto-urethral fistula

Aim The results of repair of recto‐urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft. Method Prospectively collected data were reviewed on 11 patients with RUF operated on between 2003 and 2011. Of these, six were treated by a bulbocavernosus flap. Two RUF had occurred after prostatectomy, three after prostatectomy and radiotherapy and one after perineal trauma; all had a urinary diversion. Results Closure of the fistula was achieved in all patients and was maintained for the duration of the period of follow up (mean ± SD = 43.5 ± 24.7 months; range, 8–80 months) There were no complications. Conclusion This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.