[Modified method for treatment rectourethral fistulas]

ABSTRACT

To evaluate modified technique [Delorme operation] for treatment recto urethral fistules [14] were treated with this technique from 1999 to Dec 2005; the fistule was congenital in 5 patients [35.7%], traumatic in [4] patients [28.6%], iatrogenic in 2 patients, and primary in 3 patients [21.4%]. The fistule was near dentate line in 3 patients [21.4], and above it in 11 patients [78.6%]. The fistule above verumontanum in 6 patients [42.5%], and below 8 patients [57.1%]. The operation after colostomy was done trans midline perineal incision, and rectal mucosa and sub mucosa was stripping off the muscularis layer for 1-2 cm above the fistule, then closeding the orifice, the mucosa rotated by [45] degree. The success cutting and sphincter was performed in 4 patients [28.6%] rate 100% without any recurrence, and without complications. The operation was easy to done without recurrence the fistule and without complications