Endoscopic use of cyanoacrylate glue in the treatment of urethral fistula.
OBJECTIVE
The aim of this video is to demonstrate an endoscopic and minimally invasive repair of an urethrocutaneous fistula with cyanoacrylate glue.


METHODS
A 56 year-old-man with post-infectious urethral stricture and recurrent perineal abscess formation due to urethral fistulas.


RESULTS
The operative time was 60 minutes, no major complications were observed perioperatively and postoperatively. At a follow-up time of 6 months the patient had no evidence of recurrent fistula and abscess formation.


CONCLUSIONS
The endoscopic use of cyanoacrylate glue represents a safe and minimally invasive approach that might be offered as a first line option for the treatment of urinary fistulas in selected patients, especially those with narrow and long tracts.
Department of Surgery, Division of Urology, State University of Londrina, Londrina, PR, Brazil.
André Ramos Sorgi
AR
Macedo
Silvio Henrique Maia de
SH
Almeida
Marco Aurélio de Freitas
MA
Rodrigues
Luis Gustavo
LG
Toledo
Rafael Agostinho
RA
Maioli
D003487:Cyanoacrylates / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D016896:Treatment Outcome; D018666:Ureteroscopy / Q000379:methods*; D014522:Urethral Diseases / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*; D020535:Video-Assisted Surgery / Q000379:methods*
D003487:Cyanoacrylates