[Transanal repair of rectourethral fistula after radical retropubic prostatectomy: a case report].
A 65-year-old man underwent a radical retropubic prostatectomy for prostate cancer, and 5 days later fecaluria and serous diarrhea appeared suddenly. Cystourethrography domonstrated the flow of contrast material into the rectum through the fistula, so we diagnosed a rectourethral fistula. We first attempted conservative management, but the fistula did not close spontaneously. So we performed the transanal repair of rectourethral fistula about 2 months after surgery. This repair was effective, and the patient was alive without fistula recurrence at about 2 years after the repair surgery. This approach is simple and does not require a new incision, but it is only useful for low rectourethral
Kato
Yasuto
Y
The Department of Urology, Aichi Cancer Center.
Wakita
Toshiaki
T
Kanemitu
Yukihide
Y
Hirabayashi
Atsushi
A
Hayashi
Norio
N
D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*