Combined abdominal and posterior sagittal transrectal approach for the repair of rectourinary fistula resulting from a shotgun wound.

The repair of rectourinary fistulas is frequently a matter of great difficulty. We report the case of a young man who sustained a shotgun wound to his pelvis and developed a fistula from the bladder neck to the rectum, which was repaired by a combined transabdominal and posterior sagittal transrectal approach. We recommend that this procedure should be part of the surgical armamentarium available to deal with such complicated lesions.