ABSTRACT
Rectourethral fistulas have been an uncommon, but increasingly occurring, complication of radical prostatectomy and radiation therapy of organ confined prostate cancer, and present a unique surgical challenge for the reconstructive urologic surgeon. The basis of the challenge is the presence of the disorder in an inaccessible space, containing sphincter activity and erectile related anatomy along with the potential of creating anosphincter dysfunction and impotence in the presence of a fibrotic and adherent rectoprostatic plane.
