Rectal perforation as a complication of urethral instrumentation: 2 case reports.
A review of the complications of urethral instrumentation performed at our institution during the last 15 years revealed 2 cases of urethrorectal perforation. These patients were managed with loop colostomy and suprapubic cystostomy diversion with excellent healing and no evidence of fistula formation at 24-month followup. This rare complication is described and the principles of diagnosis, prevention and prompt aggressive management are emphasized.
McDowell
G C
GC
Department of Surgery, Ohio State University, Columbus.
Wise
H A
HA
D000368:Aged; D000369:Aged, 80 and over; D003558:Cystoscopy / Q000009:adverse effects; D004724:Endoscopy / Q000009:adverse effects*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000293:injuries*; D014521:Urethra / Q000293:injuries*