title: [Fistulas of the urogenital tract after radiotherapy].
abstract: BACKGROUND
  Radiotherapy plays a substantial role in the treatment of malignancies. More than 2/3 of all oncologic patients undergo radiotherapy during their specific treatment. Besides manifold side effects of radiotherapy, radiogenic fistulas of the urogenital tract are a potential severe complication. These fistulas might affect the female genital tract and the urinary tract.
  
  
  METHODS
  Potential manifold variety of radiogenic urogenital fistulas requires a specific therapy. Radiation tissue damage includes severely disturbed local blood supply. Consequently, in some cases extremely complex reconstructive techniques are necessary to restore the functionality of the urinary tract.
  
  
  CONCLUSIONS
  The treatment of radiogenic urogenital fistulas is challenging. A successful therapy can only be achieved by local improvement of the blood supply in the damaged area.
authors.affiliation: Klinik und Poliklinik für Urologie und Kinderurologie, Julius Maximilians Universität Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland. Kocot_A@ukw.de.
authors.forename: A
authors.initials: A
authors.lastname: Kocot
authors.affiliation: Klinik und Poliklinik für Urologie und Kinderurologie, Julius Maximilians Universität Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Riedmiller
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003131:Combined Modality Therapy / Q000379:methods; D004307:Dose-Response Relationship, Radiation; D004724:Endoscopy / Q000379:methods; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D059351:Organ Sparing Treatments / Q000379:methods; D011832:Radiation Injuries / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D011879:Radiotherapy Dosage; D020266:Radiotherapy, Conformal / Q000009:adverse effects*; D012307:Risk Factors; D016896:Treatment Outcome; D014548:Urinary Fistula / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D013520:Urologic Surgical Procedures / Q000379:methods*
keywords: Fistula, radiogenic; Fistula, recto-urethral; Fistula, vesico-vaginal; Malignom; Radiation injuries