title: Endoscopic treatment of a rectovesical fistula following radical prostatectomy by over-the-scope clip (OTSC).
abstract: The successful management of a rectovesical fistula after radical prostatectomy is difficult. Minimally invasive treatment by over-the-scope clip (OTSC) is a novel method. The authors present results with the use of OTSC. This method was used in 2 patients. The first patient had a rectovesical fistula detected on the fifth day after a prostatectomy. The second patient experienced rectal perforation during prostatectomy and a recurrent fistula after fistulorrhaphy. Both patients had a small fistula located in the vesicourethral anastomosis. Both patients underwent endoscopic OTSC placement. The median follow-up was 26 months. The success rate was 50%. The first patient healed successfully and the second patient had a relapse. The York-Mason procedure was eventually successful. According to our initial experience, the OTSC is suitable for small fistulas detected shortly after a prostatectomy. A more complex fistula, though small, carries a higher recurrence risk.
authors.affiliation: Department of Urology, Charles University Hospital, Hradec Kralove, Czech Republic.
authors.forename: Milos
authors.initials: M
authors.lastname: Brodak
authors.affiliation: Department of Urology, Charles University Hospital, Hradec Kralove, Czech Republic.
authors.forename: Josef
authors.initials: J
authors.lastname: Kosine
authors.affiliation: Department of Urology, Charles University Hospital, Hradec Kralove, Czech Republic.
authors.forename: Ilja
authors.initials: I
authors.lastname: Tachecí
authors.affiliation: Department of Urology, Charles University Hospital, Hradec Kralove, Czech Republic.
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Pacovsky
keywords: endoscopy; over-the-scope clip; radical prostatectomy; rectovesical fistula