el Ouakdi M, Guermazi H, Ayed M, Zmerli S
Service d'Urologie, Hôpital Charles-Nicolle, Tunis, Tunisie.
J Urol (Paris). 1988;94(8):389-91.
The authors report 5 cases of prostato-rectal fistulae. Two men were treated by a posterior approach and two by an abdominal approach because of associated lesions. They review all of the techniques of approaching the prostato-rectal fistulas. The transsphincteric approach provides excellent exposure and reliable closure of prostato-rectal fistulas: the concern for possible anal incontinence is unfounded. Additional security can be obtained by performing a colostomy beforehand.
作者报告了5例前列腺直肠瘘病例。两名男性因合并病变采用后路手术治疗，两名采用腹部手术治疗。他们回顾了处理前列腺直肠瘘的所有技术。经括约肌途径能提供良好的暴露并可靠地闭合前列腺直肠瘘：对可能出现肛门失禁的担忧是没有根据的。预先进行结肠造口术可增加安全性。
