A Retrorectal Neurofibroma Resected by Transsacral Approach

Tumors in the retrorectal area are rare. Surgical approaches to retrorectal tumors include posterior, anterior, or combined approaches. We have encountered a case of a 56- year-old woman with a retrorectal tumor. She had a solid tumor, 3 cm in size, in the posterior midline rectum 7 cm above the anal verge. The tumor was successfully resected by using a posterior (transsacral) approach with a partial sacrectomy and was diagnosed as being a neurofibroma. There were no postoperative complications.

A case of transsacral approach for traumatic urethrorectal fistula / 대한비뇨기과학회지

The causes of urethrorectal fistula are multiple such as trauma, open prostatectomy, radiation therapy, infection and congenital anomaly and so forth. In considering the injured area, length and the condition or periurethral tissue, numerous approaches have been advocated for the treatment of the traumatic urethrorectal fistula. Herein we report the experience of successful transsacral repair of traumatic urethrorectal fistula in a 14 year-old male patient 3 months after cystostomy and colostomy installed.