[Endo-urologic treatment of ureteral fistulas occurring after pelvic surgery for carcinoma: report of 5 cases].
The authors report 5 cases of ureteric fistula after radical pelvic cancer surgery. Three patients had a recurrent tumour and 3 had received radiotherapy. Endourological methods achieved 4 immediately satisfactory results, but only one complete long-term success. Isolated percutaneous drainage of the pyelocaliceal cavities effectively dried up the urine leak, but carried a high risk of secondary stenosis of the excretory tract in the absence of concomitant intubation of the fistula zone. However, endourological treatment, combined with urinary diversion and catheterisation of the pathological ureter, represented a reliable alternative to conventional surgery.
Robert
M
M
Service d'Urologie, Hôpital Lapeyronie, Montpellier.
Averous
M
M
Guiter
J
J
Grasset
D
D
D000008:Abdominal Neoplasms / Q000601:surgery*; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D014515:Ureteral Diseases / Q000209:etiology / Q000628:therapy*; D014548:Urinary Fistula / Q000209:etiology / Q000628:therapy*
Traitement endo-urologique des fistules urétérales survenant après chirurgie carcinologique pelvienne: à propos de 5 cas.