CPT® Code 45820

A rectourethral fistula is defined as an abnormal connection or passage that forms between the rectum and the urethra. This condition can arise due to various factors, including postoperative complications, chronic infections, inflammation of the bowel, malignant tumors, or trauma. The presence of such a fistula can lead to significant clinical issues, including incontinence and recurrent urinary tract infections. The closure of a rectourethral fistula is a surgical procedure aimed at repairing this abnormal communication, thereby restoring normal function and preventing further complications. There are multiple surgical approaches to address this condition, including abdominal, perineal, and para sacrococcygeal (trans-sphincteric) techniques. Prior to the surgical intervention, a suprapubic cystostomy may be performed to divert urine temporarily from the urethra, or a catheter may be placed in the urethra to facilitate the procedure. The surgical technique involves careful dissection and closure of the fistula, ensuring that both the rectal and urethral openings are properly addressed to promote healing and restore anatomical integrity.