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[Acquired rectourethral fistula: case report].

R P Iachetta1, P Urciuoli, S Blasi

  • 1Università degli Studi, La Sapienza, di Roma.

Il Giornale Di Chirurgia
|October 26, 2006
PubMed
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Rectourethral fistulas, a rare surgical complication, present a unique challenge. This case highlights successful treatment of a rectourethral fistula using a perineal approach after prostate cancer therapy.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Rectourethral fistulas are uncommon but challenging complications following pelvic surgeries, trauma, or radiation therapy.
  • Acquired rectourethral fistulas often necessitate surgical intervention, yet no universally accepted surgical approach exists.

Observation:

  • A 73-year-old male patient developed a rectourethral fistula after radical retropubic prostatectomy and external beam radiation for prostate cancer.

Findings:

  • The rectourethral fistula in this patient was successfully treated using a perineal surgical approach.

Implications:

  • The perineal approach offers a viable and effective treatment option for rectourethral fistulas, particularly those arising post-prostate cancer treatment.
  • This case contributes to the surgical management strategies for complex rectourethral fistulas.

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