case_images: PMC4996581_01
case_images: Endoscopic ultrasound image of the fistula. The fistula tract is depicted in the 12th hour of the rectum, suggesting a suprasphincteric fistula 3 cm above the anal verge.
case_images: fig-1.jpg
case_images: PMC4996581_01_fig-1.jpg
case_images: f1
case_images: However, because of his persisting symptoms the patient underwent additional imaging with anorectal endoscopic ultrasound scan, which revealed the presence of a suprasphincteric fistula 3 cm above the anal verge and at the 12th hour of the rectum, leading to the diagnosis of a rectourethral fistula (Fig. 1).
case_images: Fistula orifice right distal to the verumontanum and proximal to the striated sphincter.
case_images: fig-2.jpg
case_images: PMC4996581_01_fig-2.jpg
case_images: f2
case_images: Semirigid cystourethroscopy revealed a small diverticulum on the left ureteral orifice and a fistula orifice at the 6th hour of the urethra right distal to the verumontanum and proximal to the striated sphincter (Fig. 2).