Purpose: We report our experience with the Latzko technique for rectourinar
y fistula repair after radical retropubic prostatectomy and cystoprostatect
omy.
Materials and Methods: We performed 7 fistula repairs in 6 patients. The 1-
stage procedure was based on a technique for vesicovaginal fistula closure
with denudation of the rectal mucosa and multilayer closure of the fistulou
s tract.
Results: Closure was successful in all patients, although 1 had to undergo
the procedure twice. There were no postoperative complications.
Conclusions: The Latzko procedure is, effective for rectourinary fistula re
pair and associated with minimal morbidity.