title: [Vesicorectal fistula caused by pelvic metastasis of penile cancer: a case report].
abstract: A 65-year-old man was referred to our hospital complaining of glans induration. Tumor biopsy revealed squamous cell carcinoma. Although he was given radiation therapy and subcutaneous injection therapy of bleomycin, viable cancer cells remained. Then he was given combination chemotherapy of bleomycin and cisplatin, and paint therapy of bleomycin ointment. Local recurrence with a cauliflower-like tumor occurred five years after the chemotherapy. Then we performed total penectomy and reconstructive surgery of penis. Five years later, discharge of urine from anal appeared. Computerized tomography of pelvis demonstrated a mass 3 cm in diameter in the anterior portion of anal and cystogram demonstrated a vesicorectal fistula. We tried to perform fistulectomy, but foiled because of large fistula. Then we inserted a urethral catheter, which resulted in obstruction of fistula by its balloon, and we made a cystostomy for securing urinary tract. Pathological examination of tissue around the fistula revealed squamous cell carcinoma. His quality of life was improved, but his general condition became worse gradually and he died of cancer.
authors.affiliation: The Department of Urology, Saitama Medical Center, Saitama Medical School.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yoshinaga
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Hayashi
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Ishii
authors.forename: Rena
authors.initials: R
authors.lastname: Ohno
authors.forename: Toshiya
authors.initials: T
authors.lastname: Terao
authors.forename: Shigeyoshi
authors.initials: S
authors.lastname: Kamata
authors.forename: Toru
authors.initials: T
authors.lastname: Watanabe
authors.forename: Takumi
authors.initials: T
authors.lastname: Yamada
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008297:Male; D010386:Pelvic Neoplasms / Q000150:complications / Q000556:secondary*; D010412:Penile Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D012003:Rectal Fistula / Q000209:etiology*; D001747:Urinary Bladder Fistula / Q000209:etiology*