{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:08:44Z","timestamp":1762819724668,"version":"build-2065373602"},"reference-count":54,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012190","name":"Ministry of Science and Higher Education of the Russian Federation","doi-asserted-by":"publisher","award":["Agreement 075-10-2025-017"],"award-info":[{"award-number":["Agreement 075-10-2025-017"]}],"id":[{"id":"10.13039\/501100012190","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rectourethral fistula represents a rare but devastating complication following prostate cancer treatment, with radiation-induced fistulas presenting particular challenges due to compromised tissue vascularity and healing capacity. While various surgical approaches have been described, management of complex post-brachytherapy rectoprostatic fistulas remains challenging with limited reports of successful robotic-assisted techniques. This case report presents a novel robotic-assisted surgical approach incorporating technical modifications including rectal rotation with mesorectal interposition, which has not been widely documented in the literature for managing radiation-induced rectoprostatic fistulas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 54-year-old male with localized prostate cancer (clinical stage T2N0M0, Gleason score 3\u2009+\u20093) developed fecaluria, pneumaturia, and severe pelvic pain one year after brachytherapy treatment. Diagnostic imaging revealed a 1.6\u00a0cm anterior rectal wall defect with a fluid-filled cavity between the rectum and prostate. Following initial palliative sigmoidostomy for symptom relief, definitive repair was performed 13 months later using robotic-assisted radical prostatectomy with segmental rectal resection and coloanal anastomosis. Key technical innovations included bladder stabilization with externalized sutures and 180\u00b0 rectal rotation, positioning the posterior mesorectum as a natural barrier against fistula recurrence. The procedure duration was 365\u00a0min with 200 mL blood loss and no immediate complications. At 24-month follow-up, the patient demonstrated complete fistula resolution with normal bowel function (Wexner continence score: 3) following stoma reversal. Prostate-specific antigen remained undetectable with no evidence of cancer recurrence. The patient reported significant quality-of-life improvement, resuming pre-illness physical activities including walking 7\u201310\u00a0km daily.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case demonstrates the feasibility and effectiveness of robotic-assisted surgical management for complex radiation-induced rectoprostatic fistulas. The novel technique of rectal rotation with mesorectal interposition may provide additional protection against recurrent fistula formation compared to conventional approaches. This innovative robotic approach could be considered in selected patients with extensive radiation-induced tissue damage where traditional repair techniques may be insufficient, potentially offering improved outcomes in this challenging clinical scenario.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12894-025-01972-8","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T11:52:02Z","timestamp":1762775522000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cRobotic-assisted surgical management of a post-brachytherapy rectoprostatic fistula: a case report\u201d"],"prefix":"10.1186","volume":"25","author":[{"given":"Artem","family":"Goncharov","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vadim","family":"Shindyapin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Popov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aramais","family":"Aslanyan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emil","family":"Abdryakhimov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,10]]},"reference":[{"key":"1972_CR1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/629105","volume":"2011","author":"H Kitamura","year":"2011","unstructured":"Kitamura H, Tsukamoto T. Rectourinary fistula after radical prostatectomy: review of the literature for incidence, etiology, and management. Prostate Cancer. 2011;2011:629105.","journal-title":"Prostate Cancer"},{"issue":"1","key":"1972_CR2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001827","volume":"64","author":"TD Kim","year":"2021","unstructured":"Kim TD, Gantt G, Kochar K, Marecik S, Park JJ. Rectourethral fistula repair with endorectal advancement flap and implantation of biologic mesh. Dis Colon Rectum. 2021;64(1):e1.","journal-title":"Dis Colon Rectum"},{"issue":"17","key":"1972_CR3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10174014","volume":"10","author":"FE Martins","year":"2021","unstructured":"Martins FE, Felicio J, Oliveira TR, Martins N, Oliveira V, Palmas A. Adverse features of rectourethral fistula requiring extirpative surgery and permanent dual diversion: our experience and recommendations. J Clin Med. 2021;10(17):4014.","journal-title":"J Clin Med"},{"issue":"9","key":"1972_CR4","doi-asserted-by":"publisher","first-page":"791","DOI":"10.1089\/end.2018.0357","volume":"32","author":"A Aminsharifi","year":"2018","unstructured":"Aminsharifi A, Polascik TJ, Schulman A, Tay KJ, Jibara G, Sze C, et al. Predictors of rectourethral fistula formation after primary whole-gland cryoablation for prostate cancer: results from the cryo on-line database registry. J Endourol. 2018;32(9):791\u20136.","journal-title":"J Endourol"},{"issue":"4","key":"1972_CR5","doi-asserted-by":"publisher","first-page":"598","DOI":"10.1097\/DCR.0000000000002467","volume":"66","author":"JP Hayden","year":"2023","unstructured":"Hayden JP, Boysen WR, Kowalik U, Inouye BM, Migaly J, Mantyh CR, et al. Outcomes of an algorithmic, multidisciplinary approach to rectourethral fistula repair: a pre- and postintervention quasi-experimental study. Dis Colon Rectum. 2023;66(4):598\u2013608.","journal-title":"Dis Colon Rectum"},{"key":"1972_CR6","doi-asserted-by":"crossref","unstructured":"Rosen J, Selph JP, Chu D, V04-01 Transanal approach to robotic repair of a rectourethral fistula.\u00a0J Urol. 2022;207(Supplement 5). Available from:\u00a0http:\/\/www.auajournals.org\/doi\/10.1097\/JU.0000000000002560.01. Cited 1 Jun 2025.","DOI":"10.1097\/JU.0000000000002560.01"},{"issue":"5","key":"1972_CR7","doi-asserted-by":"publisher","first-page":"403","DOI":"10.5114\/jcb.2017.70763","volume":"9","author":"GS Merrick","year":"2017","unstructured":"Merrick GS, Tennant A, Wallner KE, Galbreath R, Butler WM, Fiano R, et al. Does supplemental external beam radiation therapy impact urinary, bowel, and erectile function following permanent prostate brachytherapy? Results of two prospective randomized trials. J Contemp Brachytherapy. 2017;9(5):403\u20139.","journal-title":"J Contemp Brachytherapy"},{"issue":"5","key":"1972_CR8","doi-asserted-by":"publisher","first-page":"420","DOI":"10.5114\/jcb.2020.100374","volume":"12","author":"TH Kim","year":"2020","unstructured":"Kim TH, Kim JN, Yu YD, Lee SR, Hong YK, Shin HS, et al. Feasibility and early toxicity of focal or partial brachytherapy in prostate cancer patients. J Contemp Brachytherapy. 2020;12(5):420\u20136.","journal-title":"J Contemp Brachytherapy"},{"key":"1972_CR9","doi-asserted-by":"crossref","unstructured":"Theveniaud PE. Mid term functional results following surgical treatment of recto-urinary fistulas post prostate cancer treatment. In: Experimental Techniques in Urology & Nephrology. 2017. Available from:\u00a0http:\/\/crimsonpublishers.com\/etun\/fulltext\/ETUN.000508.php. Cited 22 May 2025.","DOI":"10.31031\/ETUN.2017.01.000508"},{"issue":"3","key":"1972_CR10","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226151","volume":"12","author":"BF Moss","year":"2019","unstructured":"Moss BF, Peracha AM. Rectal adenocarcinoma with rectoprostatic fistula following prostate brachytherapy. BMJ Case Rep. 2019;12(3):e226151.","journal-title":"BMJ Case Rep"},{"issue":"1","key":"1972_CR11","first-page":"121","volume":"71","author":"V Prabha","year":"2018","unstructured":"Prabha V, Kadeli V. Repair of recto-urethral fistula with urethral augmentation by buccal mucosal graft and gracilis muscle flap interposition \u2013 our experience. Cent Eur J Urol. 2018;71(1):121\u20138.","journal-title":"Cent Eur J Urol"},{"issue":"5","key":"1972_CR12","doi-asserted-by":"publisher","first-page":"1275","DOI":"10.1111\/codi.15557","volume":"23","author":"TS Suhardja","year":"2021","unstructured":"Suhardja TS, Errington B, Khalessi A, Phan-Thien KC. Robotic transanal rectourethral fistula repair-a video vignette. Colorectal Dis. 2021;23(5):1275\u20136.","journal-title":"Colorectal Dis"},{"issue":"7","key":"1972_CR13","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17071129","volume":"17","author":"A Erdik","year":"2025","unstructured":"Erdik A, Cimen HI, Gul D, Atik YT, Akca YM, Halis F, et al. Rectal injury during radical prostatectomy: incidence, management, and outcomes in single-center experience. Cancers (Basel). 2025;17(7):1129.","journal-title":"Cancers (Basel)"},{"key":"1972_CR14","first-page":"47","volume":"5","author":"VN Nfonsam","year":"2013","unstructured":"Nfonsam VN, Mateka JJ, Prather AD, Marcet JE. Short-term outcomes of the surgical management of acquired rectourethral fistulas: does technique matter? Res Rep Urol. 2013;5:47\u201351.","journal-title":"Res Rep Urol"},{"issue":"1","key":"1972_CR15","doi-asserted-by":"publisher","first-page":"35","DOI":"10.3393\/ac.2014.30.1.35","volume":"30","author":"JH Choi","year":"2014","unstructured":"Choi JH, Jeon BG, Choi SG, Han EC, Ha HK, Oh HK, et al. Rectourethral fistula: systemic review of and experiences with various surgical treatment methods. Ann Coloproctol. 2014;30(1):35\u201341.","journal-title":"Ann Coloproctol"},{"issue":"3","key":"1972_CR16","doi-asserted-by":"publisher","first-page":"e1835","DOI":"10.7205\/MILMED-D-16-00148","volume":"182","author":"WB Kucera","year":"2017","unstructured":"Kucera WB, Jezior JR, Duncan JE. Management of Post-Traumatic Rectovesical\/Rectourethral fistulas: case series of complicated injuries in wounded warriors and review of the literature. Mil Med. 2017;182(3):e1835\u20139.","journal-title":"Mil Med"},{"key":"1972_CR17","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.657251","volume":"9","author":"X Huang","year":"2021","unstructured":"Huang X, Tan SS, Chen Y, Li T. Acquired rectourethral and rectovaginal fistulas in children: a systematic review. Front Pediatr. 2021;9:657251.","journal-title":"Front Pediatr"},{"issue":"1","key":"1972_CR18","doi-asserted-by":"publisher","first-page":"37","DOI":"10.32604\/cju.2025.064684","volume":"32","author":"G Yankelevich","year":"2025","unstructured":"Yankelevich G, Swaim J, Coate I, Stroud M, Stallings W, George V, et al. Post-operative outcomes in rectourethral fistula repair using gracilis interposition flap. Can J Urol. 2025;32(1):37\u201342.","journal-title":"Can J Urol"},{"issue":"4","key":"1972_CR19","volume":"13","author":"E Brush","year":"2025","unstructured":"Brush E, Hernandez JA, Flusch\u00e9 AM, Oleck NC, Naga HI, Wickenheisser V, et al. The uroplastic approach to complex rectourethral fistula repair: indications, technique, results. Plast Reconstr Surg. 2025;13(4):e6662.","journal-title":"Plast Reconstr Surg"},{"issue":"10","key":"1972_CR20","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1046\/j.1442-2042.2001.00377.x","volume":"8","author":"Y Yamazaki","year":"2001","unstructured":"Yamazaki Y, Yago R, Toma H. Dartos flap interposition in the surgical repair of rectourethral fistulas. Int J Urol. 2001;8(10):564\u20137.","journal-title":"Int J Urol"},{"issue":"11","key":"1972_CR21","doi-asserted-by":"publisher","first-page":"1849","DOI":"10.1007\/s10350-007-9032-3","volume":"50","author":"MG Varma","year":"2007","unstructured":"Varma MG, Wang JY, Garcia-Aguilar J, Shelton AA, McAninch JW, Goldberg SM. Dartos muscle interposition flap for the treatment of rectourethral fistulas. Dis Colon Rectum. 2007;50(11):1849\u201355.","journal-title":"Dis Colon Rectum"},{"issue":"3","key":"1972_CR22","doi-asserted-by":"publisher","first-page":"165","DOI":"10.3393\/jksc.2012.28.3.165","volume":"28","author":"TG Lee","year":"2012","unstructured":"Lee TG, Park SS, Lee SJ. Treatment of a recurrent rectourethral fistula by using transanal rectal flap advancement and fibrin glue: a case report. J Korean Soc Coloproctol. 2012;28(3):165\u20139.","journal-title":"J Korean Soc Coloproctol"},{"key":"1972_CR23","doi-asserted-by":"publisher","DOI":"10.1177\/17562872251317344","volume":"17","author":"N Nigro","year":"2025","unstructured":"Nigro N, Shahinyan G, Lin S, Bhalla RG, Flynn BJ. A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomes. Ther Adv Urol. 2025;17:17562872251317344.","journal-title":"Ther Adv Urol"},{"key":"1972_CR24","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1016\/j.urology.2021.05.027","volume":"154","author":"KJ Hebert","year":"2021","unstructured":"Hebert KJ, Naik N, Allawi A, Kelley SR, Behm KT, Viers BR. Rectourethral fistula repair using robotic transanal minimally invasive surgery (TAMIS) approach. Urology. 2021;154:338.","journal-title":"Urology"},{"issue":"1","key":"1972_CR25","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1002\/ags3.12007","volume":"1","author":"C Matsuda","year":"2017","unstructured":"Matsuda C, Adachi Y. Robotic surgery for colorectal cancer. Ann Gastroenterol Surg. 2017;1(1):75.","journal-title":"Ann Gastroenterol Surg"},{"key":"1972_CR26","doi-asserted-by":"crossref","unstructured":"Siddiqui HU, Gross MD, Liska D, Wood H, Eltemamy M. V13-11 Single port robotic trans-anal rectourethral fistula repair.\u00a0J Urol. 2024. Available from:\u00a0https:\/\/www.auajournals.org\/doi\/10.1097\/01.JU.0001009532.52598.9a.11. Cited 22 May 2025.","DOI":"10.1097\/01.JU.0001009532.52598.9a.11"},{"key":"1972_CR27","doi-asserted-by":"publisher","unstructured":"Sahay SC, Mangla V, Kesarwani P, Goel A. Robotic-assisted colovesical fistula repair: a case report. Cureus. 16(2):e54404. https:\/\/doi.org\/10.7759\/cureus.54404.","DOI":"10.7759\/cureus.54404"},{"issue":"4","key":"1972_CR28","doi-asserted-by":"publisher","first-page":"1287","DOI":"10.1016\/j.juro.2013.03.077","volume":"190","author":"BJ Linder","year":"2013","unstructured":"Linder BJ, Umbreit EC, Larson D, Dozois EJ, Thapa P, Elliott DS. Effect of prior radiotherapy and ablative therapy on surgical outcomes for the treatment of rectourethral fistulas. J Urol. 2013;190(4):1287\u201391.","journal-title":"J Urol"},{"key":"1972_CR29","unstructured":"Elbakry A, Pan MM, Buckley J. Frontiers in post-radiation urologic reconstruction; robotic surgery and near-infrared fluorescence imaging: a narrative review. AME Med J. 2021. Available from: https:\/\/www.semanticscholar.org\/paper\/Frontiers-in-post-radiation-urologic-robotic-and-A-Elbakry-Pan\/995552e75bec700c9bfb729ccca0db0b6ba88082. Cited 22 May 2025."},{"key":"1972_CR30","doi-asserted-by":"publisher","first-page":"44","DOI":"10.18565\/urology.2019.6.44-47","volume":"62020","author":"SVP Popov","year":"2020","unstructured":"Popov SVP, Orlov INO, Gadjiev NKG, Obidnyak VMO, Sytnik DAS, Kulikov AYK, et al. Conservative management of rectourethral fistula: modern treatment. Urologiia. 2020;62020:44\u20137.","journal-title":"Urologiia"},{"key":"1972_CR31","doi-asserted-by":"publisher","unstructured":"Almogahed M, Wang J, Wu D, Gao X, Baldi S. Vesicovaginal fistula and hydronephrosis post-radiation for cervical cancer: challenges and strategies in management. Cureus. 16(6):e63195. https:\/\/doi.org\/10.7759\/cureus.63195.","DOI":"10.7759\/cureus.63195"},{"issue":"12","key":"1972_CR32","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2024-263333","volume":"17","author":"YB Shah","year":"2024","unstructured":"Shah YB, Lokeshwar SD, Brutus N, Sterling J. Rectourethral fistula after perirectal spacer placement requiring pelvic exenteration. BMJ Case Rep. 2024;17(12):e263333.","journal-title":"BMJ Case Rep"},{"key":"1972_CR33","doi-asserted-by":"publisher","DOI":"10.1016\/j.sipas.2023.100216","volume":"15","author":"KR Yu","year":"2023","unstructured":"Yu KR, Keller-Biehl L, Smith-Harrison L, Hazell SZ, Timmerman WR, Rivers JF, et al. Radiation-induced recto-urinary fistula: a dreaded complication with devastating consequences. Surgery in Practice and Science. 2023;15:100216.","journal-title":"Surgery in Practice and Science"},{"issue":"1","key":"1972_CR34","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-6-323","volume":"6","author":"NE Samalavicius","year":"2012","unstructured":"Samalavicius NE, Lunevicius R, Gupta RK, Poskus T, Ulys A. Gracilis muscle interposition with primary rectal without urethral repair for moderate sized rectourethral fistula caused by brachytherapy for prostate cancer: a case report. J Med Case Rep. 2012;6(1):323.","journal-title":"J Med Case Rep"},{"key":"1972_CR35","doi-asserted-by":"crossref","unstructured":"Bhatia M, Suliman H, Ahmed R, Kostadinov D, Singhal T, Bhatia M et al. Radiation proctitis: a review of pathophysiology and treatment strategies. Cureus. 2024;16(9). Available from:\u00a0https:\/\/www.cureus.com\/articles\/301364-radiation-proctitis-a-review-of-pathophysiology-and-treatment-strategies. Cited 1 Jun 2025.","DOI":"10.7759\/cureus.70581"},{"key":"1972_CR36","unstructured":"Yeoh E (Eric), Pathophysiology K, editors. Natural history and approaches to treatment and prevention of radiation proctitis. In: Current Topics in Colorectal Surgery. IntechOpen; 2021 . Available from:\u00a0https:\/\/www.intechopen.com\/chapters\/79137. Cited 1 Jun 2025."},{"issue":"1","key":"1972_CR37","doi-asserted-by":"publisher","first-page":"22","DOI":"10.5946\/ce.2020.288","volume":"55","author":"DS Dahiya","year":"2021","unstructured":"Dahiya DS, Kichloo A, Tuma F, Albosta M, Wani F. Radiation proctitis and management strategies. Clin Endosc. 2021;55(1):22\u201332.","journal-title":"Clin Endosc"},{"key":"1972_CR38","first-page":"101516","volume":"35","author":"JM Kuperus","year":"2020","unstructured":"Kuperus JM, Kim DG, Shah T, Ghareeb G, Lane BR. Rectourethral fistula following SpaceOAR gel placement for prostate cancer radiotherapy: a rare complication. Urol Case Rep. 2020;35:101516.","journal-title":"Urol Case Rep"},{"issue":"1","key":"1972_CR39","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3892\/ol.2013.1658","volume":"7","author":"H Doi","year":"2014","unstructured":"Doi H, Ishimaru F, Tanooka M, Inoue H, Odawara S, Takada Y, et al. Body mass index can affect gastrointestinal and genitourinary toxicity in patients with prostate cancer treated with external beam radiation therapy. Oncol Lett. 2014;7(1):209\u201314.","journal-title":"Oncol Lett"},{"key":"1972_CR40","doi-asserted-by":"publisher","first-page":"4","DOI":"10.2340\/sju.v58.5765","volume":"58","author":"J Br\u00e4ndstedt","year":"2023","unstructured":"Br\u00e4ndstedt J, Abrahamsson J, Baseckas G, Bobjer J, Gerdtsson A, Gunnlaugsson A, et al. Urosymphyseal fistula after pelvic radiotherapy in a tertial referral centre \u2013 a rare entity with significant comorbidity requiring multidisciplinary management. Scand J Urol. 2023;58:4\u201310.","journal-title":"Scand J Urol"},{"issue":"3","key":"1972_CR41","doi-asserted-by":"publisher","first-page":"99","DOI":"10.4103\/wjcs.wjcs_26_24","volume":"13","author":"D Shetty","year":"2024","unstructured":"Shetty D, Hegde S. An unusual delayed complication after rectal surgery \u2013 3 case reports. World Journal of Colorectal Surgery. 2024;13(3):99.","journal-title":"World Journal of Colorectal Surgery"},{"key":"1972_CR42","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000030343","author":"K Ohira","year":"2022","unstructured":"Ohira K, Konishi K, Aramaki S, Kokubo R, Wakabayashi K, Hirata M. Rectourethral fistula after external beam radiotherapy for prostate cancer in a patient with thromboangiitis obliterans: A case report. Medicine. 2022. https:\/\/doi.org\/10.1097\/MD.0000000000030343.","journal-title":"Medicine"},{"issue":"1","key":"1972_CR43","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-023-02294-2","volume":"12","author":"L Liu","year":"2023","unstructured":"Liu L, Xiao N, Liang J. Comparative efficacy of oral drugs for chronic radiation proctitis \u2014 a systematic review. Syst Rev. 2023;12(1):146.","journal-title":"Syst Rev"},{"key":"1972_CR44","first-page":"1","volume":"2015","author":"F Yeti\u015fir","year":"2015","unstructured":"Yeti\u015fir F, \u015earer AE, Acar HZ, Parlak O, Osmanoglu G, Karalova G. Management of recurrent rectourethral fistula by York Mason posterior transrectal transsphincteric approach. Case Rep Urol. 2015;2015:1\u20136.","journal-title":"Case Rep Urol"},{"issue":"17","key":"1972_CR45","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15174238","volume":"15","author":"N Moring","year":"2023","unstructured":"Moring N, Barrett S, Peterson AC, Inouye BM. Pelvic extirpative surgery for the end-stage irradiated bladder. Cancers. 2023;15(17):4238.","journal-title":"Cancers"},{"key":"1972_CR46","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolvj.2023.100233","volume":"19","author":"A Brassetti","year":"2023","unstructured":"Brassetti A, Ragusa A, Bove AM, Anceschi U, Ferriero M, Guaglianone S, et al. Robot-assisted transperitoneal repair of a recto-vesical fistula, a case report. Urology Video Journal. 2023;19:100233.","journal-title":"Urology Video Journal"},{"key":"1972_CR47","doi-asserted-by":"publisher","first-page":"S284","DOI":"10.1016\/S2666-1683(23)00634-1","volume":"55","author":"M Longoni","year":"2023","unstructured":"Longoni M, Bandini M, Gandaglia G, Gallina A, De Angelis M, Leni R, et al. VJY08 - Rectovesical fistula after radical prostatectomy: robot-assisted repair with direct suture and omental-flap interposition. Eur Urol Open Sci. 2023;55:S284.","journal-title":"Eur Urol Open Sci"},{"issue":"1","key":"1972_CR48","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-024-04645-4","volume":"39","author":"NJ O\u2019Sullivan","year":"2024","unstructured":"O\u2019Sullivan NJ, Temperley HC, Larkin J, McCormick JJ, Rausa E, McCormick P, et al. Robotic transanal minimally invasive surgery (R-TAMIS): current evidence in the treatment of early rectal neoplasia. Int J Colorectal Dis. 2024;39(1):71.","journal-title":"Int J Colorectal Dis"},{"issue":"6","key":"1972_CR49","doi-asserted-by":"publisher","first-page":"3368","DOI":"10.1007\/s00464-024-10829-4","volume":"38","author":"GN Piozzi","year":"2024","unstructured":"Piozzi GN, Przedlacka A, Duhoky R, Ali O, Ghanem Y, Beable R, et al. Robotic transanal minimally invasive surgery (r-TAMIS): perioperative and short-term outcomes for local excision of rectal cancers. Surg Endosc. 2024;38(6):3368\u201377.","journal-title":"Surg Endosc"},{"issue":"12","key":"1972_CR50","doi-asserted-by":"publisher","first-page":"1515","DOI":"10.1111\/codi.12350","volume":"15","author":"D Beddy","year":"2013","unstructured":"Beddy D, Poskus T, Umbreit E, Larson DW, Elliott DS, Dozois EJ. Impact of radiotherapy on surgical repair and outcome in patients with rectourethral fistula. Colorectal Dis. 2013;15(12):1515\u201320.","journal-title":"Colorectal Dis"},{"key":"1972_CR51","doi-asserted-by":"publisher","unstructured":"Goncharov AL, Chicherina MA, Aslanyan AS, Muratov II, Khorobrykh TV, Bedzhanyan AL, et al. Results of the implementation of crossover docking of the da Vinci Si robotic system for rectal resection. Clin Exp Surg Petrovsky j. 2025;13(1):51\u20137. https:\/\/doi.org\/10.33029\/2308-1198-2025-13-1-51-57.","DOI":"10.33029\/2308-1198-2025-13-1-51-57"},{"key":"1972_CR52","doi-asserted-by":"crossref","unstructured":"Wang Y, Chang Y, Song L, Ren J, Yin L, Cao W, et al. Robotic prostatectomy for large-volume prostates in prostate cancer: a retrospective analysis of 50 cases (>100 ml). BMC Cancer. 2025 Apr 15;25(1):701.","DOI":"10.1186\/s12885-025-13490-9"},{"key":"1972_CR53","doi-asserted-by":"crossref","unstructured":"Deng W, Liu X, Liu W, Zhang C, Zhou X, Chen L, et al. Functional and oncological outcomes following robot-assisted and laparoscopic radical prostatectomy for localized prostate cancer with a large prostate volume: a retrospective analysis with minimum 2-year follow-ups. Front Oncol. 2021;11. Available from: https:\/\/www.frontiersin.org\/journals\/oncology\/articles\/10.3389\/fonc.2021.714680\/full. Cited 24 Aug 2025.","DOI":"10.3389\/fonc.2021.714680"},{"key":"1972_CR54","doi-asserted-by":"publisher","unstructured":"Ouanes Y, Hermi A, Chaker K, Bibi M, Mrad Daly K, Nouira Y. Impact of urinary incontinence on the quality of life after open retropubic radical prostatectomy. Cureus. 14(8):e28106. https:\/\/doi.org\/10.7759\/cureus.28106.","DOI":"10.7759\/cureus.28106"}],"container-title":["BMC Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-025-01972-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12894-025-01972-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-025-01972-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:04:13Z","timestamp":1762819453000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcurol.biomedcentral.com\/articles\/10.1186\/s12894-025-01972-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,10]]},"references-count":54,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["1972"],"URL":"https:\/\/doi.org\/10.1186\/s12894-025-01972-8","relation":{},"ISSN":["1471-2490"],"issn-type":[{"type":"electronic","value":"1471-2490"}],"subject":[],"published":{"date-parts":[[2025,11,10]]},"assertion":[{"value":"14 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Institutional Review Board approval was not required for this case report according to institutional guidelines, as it describes standard clinical care without research intervention. Informed consent to participate was deemed unnecessary according to Russian national regulations (Federal Law \u2116 323-FZ \u00abOn the fundamentals of health protection of citizens in the Russian Federation\u00bb, article 20, which requires informed consent for medical interventions, but not for retrospective case reporting of anonymized data).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"278"}}