Antegrade periurethral administration of Durasphere for management of a vesicoperineal fistula.
A patient who had developed a persistent fistula between the urethra and bladder neck after its surgical closure in the construction of a continent urinary pouch and Mitrofanoff nipple was successfully treated by antegrade periurethral injection of a newly approved injectable bulking agent for stress urinary incontinence (Durasphere) to occlude the bladder neck. We believe this to be the first reported use of Durasphere for such treatment.
McGee
Shawn M
SM
Department of Urologic Surgery, University of Minnesota Medical School and Fairview-University Medical Center, Minneapolis, Minnesota 55455, USA.
Hulbert
John C
JC
D000328:Adult; D001672:Biocompatible Materials / Q000627:therapeutic use*; D005402:Fistula / Q000628:therapy*; D005936:Glucans / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000150:complications; D014522:Urethral Diseases / Q000628:therapy*; D001747:Urinary Bladder Fistula / Q000628:therapy*; D015040:Zirconium / Q000627:therapeutic use*
D001672:Biocompatible Materials; D005936:Glucans; C431745:durasphere; D015040:Zirconium