{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T01:28:36Z","timestamp":1777771716039,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T00:00:00Z","timestamp":1384992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2014,4]]},"abstract":"\n Objectives<\/jats:title>\n \n \n \n \n To assess fistula recurrence rate and health\u2010related quality of life (\n HRQL<\/jats:styled-content>\n ) after repair, as well as the impact on continence and erection in patients with recto\u2010anastomotic fistula after radical prostatectomy (\n RP<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:list-item>\n \n \n In recent publications, the numbers of cases of recto\u2010urinary fistulae after\n RP<\/jats:styled-content>\n are relatively small. Success rates at fistula closure are good; however, data about functional outcomes and\n HRQL<\/jats:styled-content>\n are more restricted.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n \n \n \n A retrospective study of patients treated for recto\u2010urethral fistulae after\n RP<\/jats:styled-content>\n between 1993 and 2008.\n <\/jats:p>\n <\/jats:list-item>\n \n \n All 17 patients were assessed for fistula recurrence in 2007 and received a standardised non\u2010validated questionnaire to assess\n HRQL<\/jats:styled-content>\n in 2011; furthermore, a patient's chart review was performed.\n <\/jats:p>\n <\/jats:list-item>\n \n Surgical technique: fistula closure was abdominal in 10 patients, perineal in five and combined abdominal and perineal in two, some with tissue interposition.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n \n In 2007, follow\u2010up was available for 14 patients, one was deceased and two were lost to follow\u2010up. The mean follow\u2010up was 73.3 months and the mean patient age was 63 years.<\/jats:p>\n <\/jats:list-item>\n \n In two of the 17 patients, rectal injury during the initial surgery was reported; another three had undergone adjuvant radiation therapy (18%).<\/jats:p>\n <\/jats:list-item>\n \n In 2011, another two patients were deceased; the mean (range) follow\u2010up was 99.5 (44\u2013184) months.<\/jats:p>\n <\/jats:list-item>\n \n \n There was a great improvement in\n HRQL<\/jats:styled-content>\n as compared with before surgery in seven of the 12 evaluable patients, a slight improvement in one and no change in three. In all, eight of the 12 patients were very satisfied with the surgery and four were satisfied.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n \n \n Perineal or abdominal fistula repair yields excellent success rates and high patient satisfaction. However, urinary incontinence can be found in some patients postoperatively, requiring further treatment.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12254","type":"journal-article","created":{"date-parts":[[2013,5,23]],"date-time":"2013-05-23T12:23:11Z","timestamp":1369311791000},"page":"568-573","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Outcomes after recto\u2010anastomosis fistula repair in patients who underwent radical prostatectomy for prostate cancer"],"prefix":"10.1111","volume":"113","author":[{"given":"Daniel","family":"Pfalzgraf","sequence":"first","affiliation":[{"name":"Department of Urology University Medical Centre Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik","family":"Isbarn","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Centre 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