My purpose is to submit substantial evidence contrary to the commonly accepted view that simultaneous perforation of the walls of the rectum and the prostatic urethra, in the presence of a dilated and functionless internal vesical sphincter, results inevitably in chronic urethrorectal fistula. The spontaneous closure of existing, fresh urethrorectal fistula, in the three cases here presented, has followed combined suprapubic and urethral urinary aspiration, by means of an efficient and simple apparatus here described. These three patients also received free catharsis, as well as frequent irrigations of the bladder and the perineal fistulous tract. Two of these three urethrorectal fistulas followed perineal prostatectomy. The third followed an attempted repair of a chronic urethrorectal fistula. In all three, at the time the treatment was instituted, there was gross fecal drainage through the suprapubic fistula, as well as both fecal and urinary drainage through the perineum. In each case the internal
DAVIS E. THE SPONTANEOUS CLOSURE OF FRESH URETHRORECTAL FISTULA: REPORT OF THREE CASES, WITH PRESENTATION OF A MANOMETER SUPRAPUBIC URINARY DRAINAGE APPARATUS. JAMA. 1932;98(18):1542–1545. doi:10.1001/jama.1932.02730440022006
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: