Evidence map›Paper›PMID 41802311›Full record

ArticleAnnals of coloproctology2026

Comparative outcomes of early and late rectourethral fistula: insights from a multicentric retrospective study on multidisciplinary management strategies.

Pauline Jeannot, Edouard Roussel, Alexandre Dutoit, Maxime Collard, Niki Christou, Jérémie H Lefevre, Amine Souadka, Alves Arnaud, Antonio Castaldi, Martin Bertrand and 6 more

Abstract read
In one paragraph

Article in Annals of coloproctology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Pauline JeannotDepartment of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Tours, France.
Edouard RousselDepartment of Digestive, Oncological Surgery, CHU Rouen, Rouen, France.
Alexandre DutoitDepartment of Digestive Surgery, Limoges Hospital, Limoges, France.
Maxime CollardDepartment of Digestive Surgery, Hôpital Saint-Antoine, Sorbonne Université, Assistance Publique-Hôpitaux de Paris, Paris, France.
Niki ChristouDepartment of Digestive Surgery, Limoges Hospital, Limoges, France.
Jérémie H LefevreDepartment of Digestive Surgery, Hôpital Saint-Antoine, Sorbonne Université, Assistance Publique-Hôpitaux de Paris, Paris, France.
Amine SouadkaDepartment of Surgical Oncology, National Institute of Oncology, University Mohammed V in Rabat, Rabat, Morocco.
Alves ArnaudDepartment of Digestive Surgery, Inserm Unity UMR 1086 ANTICIPE, University of Caen Normandy, Caen, France.
Antonio CastaldiDepartment of Digestive Surgery, University Hospital of Nîmes, Nîmes, France.
Martin BertrandDepartment of Digestive Surgery, University Hospital of Nîmes, Nîmes, France.
Nicolas MichotDepartment of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Tours, France.
Benjamin Faivre d'ArcierDepartment of Urology, Hôpital Bretonneau Hospital, CHU Tours, Tours, France.
Jean Jacques TuechDepartment of Digestive, Oncological Surgery, CHU Rouen, Rouen, France.
Franck BruyèreDepartment of Urology, Hôpital Bretonneau Hospital, CHU Tours, Tours, France.
Urs Giger-PabstFliedner Fachhochschule, University of Applied Sciences Düsseldorf, Düsseldorf, Germany.
Mehdi OuaïssiDepartment of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Tours, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study was to evaluate the natural history of early and late rectourethral fistulas (RUFs) and to determine the long-term outcomes of a multidisciplinary management approach.

methodsA multicenter retrospective study was performed on patients with RUF who were treated by a combined colorectal and urological team. Early RUF (ERUF) was defined as occurring within 31 days after surgery, while late RUF (LRUF) was defined as occurring thereafter. Surgical procedures and the surgeons involved were recorded, in addition to clinical assessments, radiological findings, and oncological assessments.

resultsA total of 72 patients diagnosed with RUF were treated between January 1, 2010, and June 2023. Patients were divided into ERUF (n=37) and LRUF (n=35) groups. After conservative management, comparisons of success rates for graciloplasty, York-Mason, and delayed coloanal anastomosis as second and third treatments showed higher rates for graciloplasty in ERUF than in LRUF (83% vs. 40%, P=0.034; 71% vs. 33%, P=0.500; and 60% vs. 40%, P>0.999, respectively). The ERUF group demonstrated significantly higher cure rates after the second treatment (83.8% vs. 40.0%, P<0.001). At final follow-up, complete healing was significantly more frequent in ERUF than in LRUF (83.8% vs. 42.9%, P<0.005). Definitive digestive and urinary diversion rates were lower in ERUF (13.5% vs. 48.5%, P=0.001; and 13.5% vs. 25.7%, P=0.240, respectively).

conclusionThese findings suggest that 30% of patients required a definitive colostomy, with a significantly higher proportion observed in the LRUF group. Moreover, repeated surgical procedures in the LRUF group were frequently unsuccessful.

Indexed as

Colorectal surgeryProstate cancerRectourethral fistula

Identifiers

PMID41802311
PMCPMC12971167

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.