title: Rectal injury during laparoscopic radical prostatectomy: detection and management.
abstract: Among 294 patients who underwent laparoscopic radical prostatectomy (LRP), five (1.7%) developed complications such as rectal injury (RI) and rectourethral fistula (RUF). In four patients, the RI was immediately repaired by placing two layers of uninterrupted sutures without fecal diversion. The RI in two of these four patients were diagnosed using a transrectally inserted Hegar uterine dilator (26 mm). The remaining patients, who presented with RUF as the primary manifestation, were conservatively managed, and the fistulas closed spontaneously. Most of the RI detected during the operation were managed with primary fistula closure without fecal diversion. In some cases of postoperative RUF, spontaneous closure may occur while the patient is waiting for surgical repair.
authors.affiliation: Department of Urology and Andrology, Kansai Medical University, Hirakata, Osaka, Japan.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Masuda
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Kinoshita
authors.forename: Sachiyo
authors.initials: S
authors.lastname: Nishida
authors.forename: Gen
authors.initials: G
authors.lastname: Kawa
authors.forename: Mutsushi
authors.initials: M
authors.lastname: Kawakita
authors.forename: Tadashi
authors.initials: T
authors.lastname: Matsuda
mesh_terms: D000368:Aged; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D011468:Prostatectomy / Q000009:adverse effects*; D012003:Rectal Fistula / Q000175:diagnosis / Q000601:surgery; D012007:Rectum / Q000293:injuries* / Q000601:surgery*; D012075:Remission, Spontaneous; D014548:Urinary Fistula / Q000175:diagnosis / Q000601:surgery