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Rectourethral fistula

MedGen UID:
75708
Concept ID:
C0268875
Disease or Syndrome
Synonym: Urethrorectal fistula
SNOMED CT: Urethral fistula to rectum (15165002); Recto-urethral fistula (15165002); Urethrorectal fistula (15165002)
 
HPO: HP:0025407

Definition

An abnormal connection (fistula) between the rectum and the urethra. [from HPO]

Term Hierarchy

Conditions with this feature

Craniosynostosis-anal anomalies-porokeratosis syndrome
MedGen UID:
351066
Concept ID:
C1864186
Disease or Syndrome
CDAGS syndrome is characterized by craniosynostosis and clavicular hypoplasia, delayed closure of the fontanel, anal and genitourinary anomalies, and skin eruption of porokeratotic lesions (Mendoza-Londono et al., 2005).
X-linked Opitz G/BBB syndrome
MedGen UID:
424842
Concept ID:
C2936904
Disease or Syndrome
X-linked Opitz G/BBB syndrome (X-OS) is a multiple-congenital-anomaly disorder characterized by facial anomalies (hypertelorism, prominent forehead, widow's peak, broad nasal bridge, anteverted nares), genitourinary abnormalities (hypospadias, cryptorchidism, and hypoplastic/bifid scrotum), and laryngotracheoesophageal defects. Developmental delay and intellectual disability are observed in about 50% of affected males. Cleft lip and/or palate are present in approximately 50% of affected individuals. Other malformations (present in <50% of individuals) include congenital heart defects, imperforate or ectopic anus, and midline brain defects (Dandy-Walker malformation and agenesis or hypoplasia of the corpus callosum and/or cerebellar vermis). Wide clinical variability occurs even among members of the same family. Female heterozygotes usually manifest hypertelorism only.

Professional guidelines

PubMed

Ramírez-Martín D, Jara-Rascón J, Renedo-Villar T, Hernández-Fernández C, Lledó-García E
Curr Urol Rep 2016 Mar;17(3):22. doi: 10.1007/s11934-016-0578-2. PMID: 26874534
Keller DS, Aboseif SR, Lesser T, Abbass MA, Tsay AT, Abbas MA
Int J Colorectal Dis 2015 May;30(5):631-8. Epub 2015 Mar 27 doi: 10.1007/s00384-015-2183-0. PMID: 25808012
Garza Cortés R, Clavijo R, Sotelo R
Arch Esp Urol 2012 Sep;65(7):659-72. PMID: 22971761

Recent clinical studies

Etiology

Campbell JG, Vanni AJ
Urol Clin North Am 2022 Aug;49(3):553-565. Epub 2022 Jun 27 doi: 10.1016/j.ucl.2022.04.012. PMID: 35931443
Krischak MK, Hayden JP, Krughoff K, Inouye BM, Boysen WR, Mantyh CR, Erdmann D, Peterson AC
Urology 2022 Aug;166:257-263. Epub 2022 May 16 doi: 10.1016/j.urology.2022.03.041. PMID: 35584735
Park KM, Rosli YY, Simms A, Lentz R, Bharadia DR, Breyer B, Hoffman WY
Ann Plast Surg 2022 May 1;88(4 Suppl 4):S316-S319. Epub 2022 Feb 21 doi: 10.1097/SAP.0000000000003085. PMID: 35180755
Peng C, Tan SS, Pang W, Wang Z, Wu D, Wang K, Chen Y
J Pediatr Surg 2021 Feb;56(2):263-268. Epub 2020 Jul 3 doi: 10.1016/j.jpedsurg.2020.06.042. PMID: 32732163
Wang C, Diao M, Li L, Liu S, Chen Z, Li X, Cheng W
J Surg Res 2017 May 1;211:147-153. Epub 2016 Dec 11 doi: 10.1016/j.jss.2016.11.059. PMID: 28501111

Diagnosis

Schierz IAM, Piro E, Giuffrè M, Pinello G, Angelini A, Antona V, Cimador M, Corsello G
J Matern Fetal Neonatal Med 2022 Dec;35(23):4513-4520. Epub 2020 Dec 1 doi: 10.1080/14767058.2020.1854213. PMID: 36062518
Cheng JW, Ahn JJ, Cain MP, Anderson JE, Smith CA, Rice-Townsend SE
Urology 2021 Dec;158:193-196. Epub 2021 Oct 2 doi: 10.1016/j.urology.2021.09.013. PMID: 34606879
Ramírez-Martín D, Jara-Rascón J, Renedo-Villar T, Hernández-Fernández C, Lledó-García E
Curr Urol Rep 2016 Mar;17(3):22. doi: 10.1007/s11934-016-0578-2. PMID: 26874534
Garza Cortés R, Clavijo R, Sotelo R
Arch Esp Urol 2012 Sep;65(7):659-72. PMID: 22971761
Bischoff A, Levitt MA, Peña A
J Pediatr Surg 2011 Aug;46(8):1609-17. doi: 10.1016/j.jpedsurg.2011.03.068. PMID: 21843731

Therapy

Medina LG, Sayegh AS, La Riva A, Perez LC, Ortega DG, Rangel E, Hernandez AB, Lizana MA, Sanchez A, Polotti CF, Cacciamani GE, Sotelo R
Urology 2022 Nov;169:102-109. Epub 2022 Aug 21 doi: 10.1016/j.urology.2022.05.060. PMID: 36002087
Ramírez-Martín D, Jara-Rascón J, Renedo-Villar T, Hernández-Fernández C, Lledó-García E
Curr Urol Rep 2016 Mar;17(3):22. doi: 10.1007/s11934-016-0578-2. PMID: 26874534
Amato A, Pellino G, Secondo P, Selvaggi F
Tech Coloproctol 2015 Nov;19(11):699-703. Epub 2015 Jul 24 doi: 10.1007/s10151-015-1346-x. PMID: 26206163
Buckley JC
Curr Opin Urol 2011 Nov;21(6):461-4. doi: 10.1097/MOU.0b013e32834b7e1b. PMID: 21934623
Chun L, Abbas MA
Tech Coloproctol 2011 Sep;15(3):297-300. Epub 2011 Jul 1 doi: 10.1007/s10151-011-0710-8. PMID: 21720888

Prognosis

Wu Z, Xue R, Tang Z
Zhong Nan Da Xue Xue Bao Yi Xue Ban 2021 Jul 28;46(7):753-758. doi: 10.11817/j.issn.1672-7347.2021.200617. PMID: 34382593Free PMC Article
Wang C, Diao M, Li L, Liu S, Chen Z, Li X, Cheng W
J Surg Res 2017 May 1;211:147-153. Epub 2016 Dec 11 doi: 10.1016/j.jss.2016.11.059. PMID: 28501111
Muñoz-Duyos A, Navarro-Luna A, Pardo-Aranda F, Caballero JM, Borrat P, Maristany C, Pando JA, Veloso E
Dis Colon Rectum 2017 Apr;60(4):393-398. doi: 10.1097/DCR.0000000000000763. PMID: 28267006
Yamataka A, Lane GJ, Koga H
Pediatr Surg Int 2013 Oct;29(10):1007-11. doi: 10.1007/s00383-013-3391-8. PMID: 23989601
Wakhlu AK, Wakhlu A, Tandon RK, Kureel SN
J Pediatr Surg 1996 Mar;31(3):441-3. doi: 10.1016/s0022-3468(96)90758-7. PMID: 8708923

Clinical prediction guides

Deivasigamani S, Kotamarti S, Rastinehad AR, Salas RS, de la Rosette JJMCH, Lepor H, Pinto P, Ahmed HU, Gill I, Klotz L, Taneja SS, Emberton M, Lawrentschuk N, Wysock J, Feller JF, Crouzet S, Kumar M P, Seguier D, Adams ES, Michael Z, Abreu A, Jack Tay K, Ward JF, Shinohara K, Katz AE, Villers A, Chin JL, Stricker PD, Baco E, Macek P, Ahmad AE, Chiu PKF, Crawford ED, Rogers CG, Futterer JJ, Rais-Bahrami S, Robertson CN, Hadaschik B, Marra G, Valerio M, Chong KT, Kasivisvanathan V, Tan WP, Lomas D, Walz J, Guimaraes GC, Mertziotis NI, Becher E, Finelli A, Kasraeian A, Lebastchi AH, Vora A, Rosen MA, Bakir B, Arcot R, Yee S, Netsch C, Meng X, de Reijke TM, Tan YG, Regusci S, Benjamin TGR, Olivares R, Noureldin M, Bianco FJ, Sivaraman A, Kim FJ, Given RW, Dason S, Sheetz TJ, Shoji S, Schulman A, Royce P, Shah TT, Scionti S, Salomon G, Laguna P, Tourinho-Barbosa R, Aminsharifi A, Cathelineau X, Gontero P, Stabile A, Grummet J, Ledbetter L, Graton M, Stephen Jones J, Polascik TJ; Focal Therapy Society
Eur Urol 2023 Dec;84(6):547-560. Epub 2023 Jul 5 doi: 10.1016/j.eururo.2023.06.013. PMID: 37419773
Schierz IAM, Piro E, Giuffrè M, Pinello G, Angelini A, Antona V, Cimador M, Corsello G
J Matern Fetal Neonatal Med 2022 Dec;35(23):4513-4520. Epub 2020 Dec 1 doi: 10.1080/14767058.2020.1854213. PMID: 36062518
Krischak MK, Hayden JP, Krughoff K, Inouye BM, Boysen WR, Mantyh CR, Erdmann D, Peterson AC
Urology 2022 Aug;166:257-263. Epub 2022 May 16 doi: 10.1016/j.urology.2022.03.041. PMID: 35584735
Sbizzera M, Morel-Journel N, Ruffion A, Crouzet S, Paparel P, Carnicelli D, Neuville P
Eur Urol 2022 Mar;81(3):305-312. Epub 2021 Oct 20 doi: 10.1016/j.eururo.2021.09.017. PMID: 34686386
Peng C, Tan SS, Pang W, Wang Z, Wu D, Wang K, Chen Y
J Pediatr Surg 2021 Feb;56(2):263-268. Epub 2020 Jul 3 doi: 10.1016/j.jpedsurg.2020.06.042. PMID: 32732163

Recent systematic reviews

Deivasigamani S, Kotamarti S, Rastinehad AR, Salas RS, de la Rosette JJMCH, Lepor H, Pinto P, Ahmed HU, Gill I, Klotz L, Taneja SS, Emberton M, Lawrentschuk N, Wysock J, Feller JF, Crouzet S, Kumar M P, Seguier D, Adams ES, Michael Z, Abreu A, Jack Tay K, Ward JF, Shinohara K, Katz AE, Villers A, Chin JL, Stricker PD, Baco E, Macek P, Ahmad AE, Chiu PKF, Crawford ED, Rogers CG, Futterer JJ, Rais-Bahrami S, Robertson CN, Hadaschik B, Marra G, Valerio M, Chong KT, Kasivisvanathan V, Tan WP, Lomas D, Walz J, Guimaraes GC, Mertziotis NI, Becher E, Finelli A, Kasraeian A, Lebastchi AH, Vora A, Rosen MA, Bakir B, Arcot R, Yee S, Netsch C, Meng X, de Reijke TM, Tan YG, Regusci S, Benjamin TGR, Olivares R, Noureldin M, Bianco FJ, Sivaraman A, Kim FJ, Given RW, Dason S, Sheetz TJ, Shoji S, Schulman A, Royce P, Shah TT, Scionti S, Salomon G, Laguna P, Tourinho-Barbosa R, Aminsharifi A, Cathelineau X, Gontero P, Stabile A, Grummet J, Ledbetter L, Graton M, Stephen Jones J, Polascik TJ; Focal Therapy Society
Eur Urol 2023 Dec;84(6):547-560. Epub 2023 Jul 5 doi: 10.1016/j.eururo.2023.06.013. PMID: 37419773
Mishra K, Mahran A, Abboud B, Bukavina L, Elshafei A, Ray A 3rd, Fernstrum A, Abboud R, Elgammal M, Zhao LC, Gupta S
Urology 2021 Jan;147:299-305. Epub 2020 Sep 8 doi: 10.1016/j.urology.2020.08.047. PMID: 32916190
Hechenbleikner EM, Buckley JC, Wick EC
Dis Colon Rectum 2013 Mar;56(3):374-83. doi: 10.1097/DCR.0b013e318274dc87. PMID: 23392154

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