Post-radical prostatectomy rectourethral fistula: endosopic management.
Rectal injuries diagnosed during radical prostatectomy are readily treated with primary closure and omental interposition. However, once this fails and a fistula develops, the treatment gets more complex. Various surgeries have been described to manage these fistulae, but these are not done frequently and require a great deal of expertise. We report a patient with post-radical prostatectomy rectourethral fistula, treated with cyanoacrylate glue injected through a colonoscope as the fistulous tract was well visualized per rectum. The patient is voiding well per urethra with no rectal leakage 3 months post-catheter removal. Thus, use of cyanoacrylate glue as a minimally invasive non-surgical technique for management of rectourethral fistula appears to be a good option which can be tried before embarking on major surgery.
Bhandari
Yogesh
Y
P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, India. yogeshbhandari@hotmail.com
Khandkar
Amit
A
Chaudhary
Apurva
A
Srimali
Pritesh
P
Desai
D
D
Srinivas
V
V
D002277:Carcinoma / Q000601:surgery*; D002404:Catheterization; D003113:Colonoscopy / Q000379:methods; D003487:Cyanoacrylates / Q000737:chemistry; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012003:Rectal Fistula / Q000209:etiology* / Q000628:therapy*; D014548:Urinary Fistula / Q000209:etiology* / Q000628:therapy*; D014572:Urology / Q000295:instrumentation / Q000379:methods
D003487:Cyanoacrylates