title: [Recto-vesico-cutaneous fistula following salvage cryotherapy of the prostate due to recurrent localized prostate cancer].
abstract: For patients with recurrent prostate cancer after initial external beam radiation salvage cryotherapy is considered as an alternative to salvage prostatectomy. We report a serious complication of salvage cryotherapy in a 72-year-old man suffering from a severe recto-vesico-cutaneous fistula 6 weeks after salvage cryotherapy. To manage this situation salvage cystoprostatectomy and continent urinary diversion with creation of an ileocaecal pouch with cutaneous stoma had to be performed.
authors.affiliation: Klinik und Poliklinik für Urologie und Kinderurologie, Julius-Maximilians-Universität Würzburg, Oberdürrbacher Straße 6, Würzburg, Germany. arkadius.kocot@gmx.de
authors.forename: A
authors.initials: A
authors.lastname: Kocot
authors.forename: M
authors.initials: M
authors.lastname: Spahn
authors.forename: A
authors.initials: A
authors.lastname: Loeser
authors.forename: H
authors.initials: H
authors.lastname: Riedmiller
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D017679:Cryotherapy / Q000009:adverse effects*; D017577:Cutaneous Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000150:complications / Q000628:therapy*; D011468:Prostatectomy / Q000379:methods; D011471:Prostatic Neoplasms / Q000150:complications / Q000628:therapy*; D012003:Rectal Fistula / Q000209:etiology* / Q000601:surgery; D016879:Salvage Therapy / Q000009:adverse effects; D016896:Treatment Outcome; D001747:Urinary Bladder Fistula / Q000209:etiology* / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods