{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:38:25Z","timestamp":1777937905101,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> A rectourethral fistula (RUF) is an uncommon complication resulting from surgery, radiation, or trauma. Retrospective studies and case reports have highlighted different approaches for surgical repair. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p> The aim of this study was to review our experience with surgical management of RUF. <\/jats:p><\/jats:sec><jats:sec><jats:title>Data sources<\/jats:title><jats:p> MEDLINE (PubMed, Ovid) and the Cochrane Library were searched by using the terms RUFs urethrorectal fistulas, and prostatourethral-rectal fistulas. <\/jats:p><\/jats:sec><jats:sec><jats:title>Study selection<\/jats:title><jats:p> All studies were retrospective and in English. Of the records identified, 31 series were included. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Four hundred sixty-five patients were identified. Most patients underwent one of four categories of repair: transanal (4.7%), transabdominal (14.1%), transsphincteric (26.6%), and transperineal (57.6%). Tissue interposition flaps, predominantly gracilis muscle, were used in 56% of repairs. The fistula was successfully closed in 93.9% of patients. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Regardless of complexity, RUFs have an initial closure rate of 93.9%. <\/jats:p><\/jats:sec>","DOI":"10.5301\/uro.5000111","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T11:51:48Z","timestamp":1425642708000},"page":"30-35","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Surgical Treatment of Rectourinary Fistulas: Review of the Literature"],"prefix":"10.1177","volume":"82","author":[{"given":"Alessandro","family":"Crestani","sequence":"first","affiliation":[{"name":"Dipartimento di Scienze Chirurgiche, Oncologiche e Gastroenterologiche - Clinica Urologica, Universit\u00e0 degli Studi di Padova, Padova - Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Dal 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