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Rectourethral fistula: a rare complication after HoLEP
Ali Syed1, Joon Yau Leong, Seth Teplitsky
1Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
A rare rectourethral fistula complication occurred 6 weeks after Holmium Laser Enucleation of the Prostate (HoLEP). Conservative management with catheterization resolved symptoms, highlighting the need for delayed post-operative monitoring.
Area of Science:
- Urology
- Surgical Complications
- Medical Imaging
Background:
- Holmium Laser Enucleation of the Prostate (HoLEP) is a common procedure for benign prostatic hyperplasia.
- While generally safe, potential complications require careful monitoring.
Observation:
- A 70-year-old male developed a rectourethral fistula six weeks post-HoLEP.
- The complication was diagnosed via cystourethrogram.
Findings:
- Conservative management with a 6-week indwelling catheter led to complete symptom resolution.
- Repeat cystourethrogram confirmed significant healing of the fistulous tract.
Implications:
- Delayed complications, such as rectourethral fistula, can occur after HoLEP.
- Potential causes include delayed thermal or infectious reactions.
- Extended post-operative follow-up is crucial for detecting late-onset complications.
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