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Related Experiment Videos

Laparoscopic rectovesical fistula repair.

Rene Sotelo1, Alejandro Garcia, Henry Yaime

  • 1Section of Laparoscopic and Minimally Invasive Surgery, Department of Urology, "La Floresta" Medical Institute, Caracas, Venezuela. renesotelo@cantv.net

Journal of Endourology
|August 2, 2005
PubMed
Summary
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Laparoscopic surgery successfully repaired a rectovesical fistula (RVF) after prostatectomy. This minimally invasive approach offers a viable alternative for managing this rare complication, with the patient showing no recurrence.

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Rectovesical fistula (RVF) is a rare but serious complication following radical prostatectomy.
  • A 62-year-old male patient developed RVF after open radical prostatectomy for localized prostate cancer.
  • Previous conservative management for the RVF proved unsuccessful, necessitating surgical intervention.

Observation:

  • Conservative management for the RVF proved unsuccessful.
  • The patient was referred for surgical intervention to correct the fistula.

Findings:

  • A laparoscopic approach was utilized, involving cystoscopy, RVF and ureteral catheterization, and a five-port transperitoneal technique.
  • Key steps included opening the fistulous tract, dissecting the bladder and rectum, rectal closure, omental interposition, suprapubic cystostomy, bladder closure, and colostomy creation.

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Implications:

  • The laparoscopic rectovesical fistula repair was completed in 240 minutes with a 3-day hospital stay.
  • The patient experienced successful fistula closure with no recurrence at 1-month follow-up, demonstrating the feasibility of this minimally invasive technique.