{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T01:28:37Z","timestamp":1777771717308,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,11,3]],"date-time":"2016-11-03T00:00:00Z","timestamp":1478131200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Recto\u2010urethral fistula (RUF) is a rare complication of radical prostatectomy. We report a transperineal approach using a fibrin sealant haemostatic patch.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Five consecutive patients who developed RUF following radical prostatectomy had a direct transperineal repair with a haemostatic patch (TachoSil\u00ae) and were assessed at a median follow\u2010up of 35.5 (21\u201345) months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no early postoperative complications. The average length of hospital stay was 5 (4\u20137) days. One patient developed recurrence 4\u00a0weeks after removal of the urethral catheter. Following healing in four patients the stoma was reversed at a median interval of 3\u00a0months, and 9.5 (7\u201310) months following the prostatic surgery. In the four patients with successful closure there was no case of recurrence or anorectal or urinary dysfunction at a median follow\u2010up of 35.5 (21\u201345) months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Direct transperineal repair of RUF reinforced with a fibrin haemostatic patch of TachoSil is safe and effective.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13518","type":"journal-article","created":{"date-parts":[[2016,9,15]],"date-time":"2016-09-15T06:22:50Z","timestamp":1473920570000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Repair of transperineal recto\u2010urethral fistula using a fibrin sealant haemostatic patch"],"prefix":"10.1111","volume":"18","author":[{"given":"G.","family":"Giuliani","sequence":"first","affiliation":[{"name":"Surgical Department Sapienza University Policlinico \u2018Umberto I\u2019 Rome 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