[Urethral fistula due to Crohn's disease: case report of successful conservative management].
We report a case of a recto-urethral fistula in Crohn's disease. In our case, suprapubic cystostomy, ciprofloxacin, metronidazole, and azathioprine led to complete remission. Recto-urethral fistulas due to Crohn's disease are very uncommon. Pneumaturia, faecaluria, urinary tract infection, dysuria, and urethral discharge are the most common complaints. After complete diagnostics, immunosuppressive therapy in complicated Crohn's disease is of increasing importance. It is recommended to continue treatment after healing to prevent further complications.
Schwab
C
C
Klinik für Urologie, Kantonsspital, Rorschacher Strasse 95, CH-9007 St. Gallen, Schweiz. Christoph.Schwab@kssg.ch
Meyer
D
D
Hetzer
F H
FH
Borovicka
J
J
Schmid
H-P
HP
Engeler
D S
DS
D001379:Azathioprine / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D003424:Crohn Disease / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D003558:Cystoscopy; D003559:Cystostomy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D053159:Dysuria / Q000209:etiology; D005500:Follow-Up Studies; D006417:Hematuria / Q000209:etiology; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D012003:Rectal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014522:Urethral Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D014567:Urography
D008795:Metronidazole; D002939:Ciprofloxacin; D001379:Azathioprine