Rectourethral fistula is an abnormal connection between the rectum and urethra causing passage of urine into the rectum and fecal contamination of the urinary tract. Pristyn Care offers expert minimally invasive surgical repair with high success rates.
Rectourethral fistula is an abnormal connection between the rectum and urethra causing passage ... Read More

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Rectourethral fistula (RUF) is an abnormal communication between the rectum and urethra, allowing urine to pass into the rectum and stool or gas to enter the urinary tract. It commonly occurs after prostate surgery, radiation therapy, trauma, or infection. This condition can significantly affect quality of life and requires specialised surgical management. Pristyn Care provides advanced minimally invasive and sphincter-preserving treatment options with excellent outcomes.
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Symptoms of Rectourethral Fistula include:
Rectourethral fistula can be caused by:
Classified based on complexity:

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Risk factors for Rectourethral Fistula:
Rectourethral fistula primarily affects men, especially those who have undergone prostate surgery or radiation therapy. Patients with pelvic trauma, inflammatory bowel disease, or prior pelvic procedures are also at higher risk.
Diagnosis of Rectourethral Fistula involves:
Treatment depends on the size, cause, and severity of the fistula. Small and early fistulas may be managed with catheterization and antibiotics. However, most cases require surgical repair using minimally invasive or open techniques. Complex cases may require staged procedures with temporary colostomy or urinary diversion for proper healing.
Transperineal repair with gracilis muscle flap for RUF:
Post-operative care after RUF repair:
Potential complications of RUF repair:
Rectourethral fistula is an abnormal connection between the rectum and the urethra, allowing urine to pass into the rectum and stool or gas to enter the urinary tract. This can lead to symptoms like passage of urine through the rectum, recurrent urinary infections, and discomfort.
In very rare and small cases, especially after minor injury or surgery, a rectourethral fistula may improve with conservative management such as catheterization, antibiotics, and proper nutrition. However, most cases do not heal on their own and require surgical treatment for complete closure.
Minimally invasive surgical repair is considered the most effective treatment. Techniques such as transperineal repair with tissue interposition (like gracilis muscle flap) are commonly used. The choice of procedure depends on the size, location, and cause of the fistula.
Recovery typically takes around 4–6 weeks for initial healing. A urinary catheter may be required for a few weeks to allow proper healing. In complex cases, or if a temporary diversion (colostomy) is needed, full recovery may take a few months.
Raghava kumari
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Very good receiving and excellent explanation with smile.
Subhasis Kumar Ghosh
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Doctor carried out Piles surgery on me.
Mahesh More, 28 Yrs
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I recently had a very positive experience with Pristyn Care during my hospital visit. The entire process from coordination to hospital support was handled in a professional and well organized manner. The team was supportive, responsive, and ensured that everything was explained clearly, which made the experience completely smooth and stress free. A special mention to the staff for their empathy and timely assistance throughout the journey. It’s reassuring to see a healthcare organization so focused on patient experience and service quality. Thank you, Pristyn Care, for setting a high standard in patient care.