title: [Neobladder-rectal fistula as early postoperative complication of radical cystectomy and orthotopic neobaldder construction].
abstract: We report a case of neobladder-rectal fistula that developed as an early postoperative complication of radical cystectomy and orthotopic neobladder construction procedures. A 75-year-old man underwent a radical cystectomy and orthotopic neobladder construction using Studer's method for locally invasive bladder cancer (cT2N0M0). The patient had severe watery diarrhea on postoperative day 20, and was diagnosed with a neobladder-rectal fistula based on cystography findings. We inserted a Foley catheter into the neobladder, and performed conservative treatment. Four months after development of the fistula, cystography revealed that it had spontaneously closed. A neobladder-rectal fistula is an extremely rare complication, with no other known reports. Herein, we present this case of neobladder-rectal fistula and discuss its formation, diagnosis and treatment, along with reference to previous reports of neobladder-vaginal fistulas.
authors: Department of Urology, Tokyo Women's Medical University Medical Center East.
authors: Narushi
authors: N
authors: Yokota
authors: Fumio
authors: F
authors: Ito
authors: Tetsuo
authors: T
authors: Ishikawa
authors: Kaori
authors: K
authors: Yamashita
authors: Hayakazu
authors: H
authors: Nakazawa
mesh_terms: D000368:Aged; D015653:Cystectomy; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012003:Rectal Fistula / Q000209:etiology*; D014547:Urinary Diversion / Q000379:methods*; D014548:Urinary Fistula / Q000209:etiology*