Conservative treatment of iatrogenic urinary fistulas: the value of cyanoacrylic glue.
Once previously attempted conservative maneuvers have failed, iatrogenic persistent urinary fistulas usually require difficult repeated operations. We describe 3 patients in whom cyanoacrylic glue was used to repair endoscopically persistent urinary fistulas occurring after major pelvic surgery. At a mean follow-up of 21 months, all patients were free of urinary leakage and had no evidence of recurrent urinary fistulas. This approach may represent a safe and effective way to repair postoperative urinary fistulas.
Bardari
F
F
Department of Urology, S. Giovanni Bosco Hospital, Turin, Italy.
D'Urso
L
L
Muto
G
G
D000368:Aged; D017577:Cutaneous Fistula / Q000209:etiology / Q000628:therapy*; D003487:Cyanoacrylates / Q000627:therapeutic use*; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007049:Iatrogenic Disease; D007077:Ileal Diseases / Q000209:etiology / Q000628:therapy; D007412:Intestinal Fistula / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000293:injuries; D016737:Proctocolectomy, Restorative; D011469:Prostatic Diseases / Q000209:etiology / Q000628:therapy*; D014014:Tissue Adhesives / Q000627:therapeutic use*; D001747:Urinary Bladder Fistula / Q000209:etiology / Q000628:therapy; D014546:Urinary Catheterization / Q000009:adverse effects*; D014547:Urinary Diversion; D014548:Urinary Fistula / Q000209:etiology / Q000628:therapy*
D003487:Cyanoacrylates; D014014:Tissue Adhesives; C040229:MK 6 cyanoacrylate