Rectourethral fistula following LDR brachytherapy.
Modern LDR brachytherapy has drastically reduced rectal toxicity and decreased the occurrence of rectourethral fistulas to <0.5% of patients. Therefore, symptoms of late-onset sequelae are often ignored initially. These fistulas cause severe patient morbidity and require interdisciplinary treatment. We report on the occurrence and management of a rectourethral fistula which occurred 4 years after (125)I seed implantation.
Borchers
Holger
H
Urological Clinic, University Clinic Aachen, RWTH Aachen, Aachen, Germany.
Pinkawa
Michael
M
Donner
Andreas
A
Wolter
Timm P
TP
Pallua
Norbert
N
Eble
Michael J
MJ
Jakse
Gerhard
G
D000230:Adenocarcinoma / Q000473:pathology / Q000532:radiotherapy*; D000368:Aged; D001918:Brachytherapy / Q000009:adverse effects*; D003125:Colostomy; D006801:Humans; D007457:Iodine Radioisotopes / Q000009:adverse effects*; D008297:Male; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology / Q000532:radiotherapy*; D011832:Radiation Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012003:Rectal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D014522:Urethral Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014548:Urinary Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
D007457:Iodine Radioisotopes