{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:40:19Z","timestamp":1756374019500,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,12,20]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>We report a case of iatrogenic rectourethral fistula (RUF) in an elderly man with benign prostatic enlargement and acute urinary retention, following a transurethral resection of prostate (TURP). This patient presented a unique challenge of tackling the RUF in the presence of a large residual prostate gland and urinary tract infection. RUF was repaired only after getting the access to the fistula following transvesical prostatectomy. Follow-up imaging showed well-healed repair of RUF. Transvesical prostatectomy is a useful adjunctive procedure in repair of RUF when associated with a large prostate. This case also highlights the importance of technique selection while planning for surgery on large prostate glands. TURP is not the preferred first modality of choice for larger glands as noted in this case.<\/jats:p>","DOI":"10.1136\/bcr-2019-230804","type":"journal-article","created":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T07:49:20Z","timestamp":1578296960000},"page":"e230804","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["High rectourethral fistula following TURP: repair possible only after transvesical prostatectomy"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8132-348X","authenticated-orcid":false,"given":"Shanmugasundaram","family":"Rajaian","sequence":"first","affiliation":[{"name":"Department of Urology, MIOT International, Manapakkam, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murugavaithianathan","family":"Pragatheeswarane","sequence":"additional","affiliation":[{"name":"Department of Urology, MIOT International, Manapakkam, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karrthik","family":"Krishnamurthy","sequence":"additional","affiliation":[{"name":"Department of Urology, MIOT International, Manapakkam, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lakshman","family":"Murugasen","sequence":"additional","affiliation":[{"name":"Department of Urology, MIOT International, Manapakkam, Chennai, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,1,5]]},"reference":[{"key":"2025082801590876000_13.1.e230804.1","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/S0022-5347(01)67701-2","article-title":"Acquired rectourethral fistula: methods of repair","volume":"153","author":"Bukowski","year":"1995","journal-title":"J Urol"},{"key":"2025082801590876000_13.1.e230804.2","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/DCR.0b013e318274dc87","article-title":"Acquired rectourethral fistulas in adults: a systematic review of surgical repair techniques and outcomes","volume":"56","author":"Hechenbleikner","year":"2013","journal-title":"Dis Colon Rectum"},{"key":"2025082801590876000_13.1.e230804.3","article-title":"Rectourethral fistula secondary to transurethral resection of the prostate","volume":"10","author":"Gayam","year":"2018","journal-title":"Cureus"},{"key":"2025082801590876000_13.1.e230804.4","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s00268-005-7940-8","article-title":"Successful repair of iatrogenic rectourinary fistulas using the posterior sagittal transrectal approach (York-Mason): 15-year experience","volume":"30","author":"Dal Moro","year":"2006","journal-title":"World J Surg"},{"key":"2025082801590876000_13.1.e230804.5","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.ajur.2018.01.003","article-title":"Management of acquired rectourethral fistulas in adults","volume":"5","author":"Chen","year":"2018","journal-title":"Asian J Urol"},{"key":"2025082801590876000_13.1.e230804.6","doi-asserted-by":"crossref","DOI":"10.1007\/s11934-016-0578-2","article-title":"Rectourethral fistula management","volume":"17","author":"Ram\u00edrez-Mart\u00edn","year":"2016","journal-title":"Curr Urol Rep"},{"unstructured":"Gravas S , Cornu JN , Drake MJ , et al . Members of the EAU guidelines panel: EAU guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), INCL. benign prostatic obstruction (BPO). Arnhem, The Netherlands: presented at the EAU Annual Congress Copenhagen 2018, 2018. https:\/\/uroweb.org\/guideline\/treatment-of-non-neurogenic-male-luts\/#5","key":"2025082801590876000_13.1.e230804.7"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-230804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:59:17Z","timestamp":1756371557000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-230804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,5]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/bcr-2019-230804"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-230804","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}