Rectourethral fistula: a rare complication after HoLEP
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Updated: Feb 1, 2026

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Published on: September 8, 2023
Ali Syed1, Joon Yau Leong, Seth Teplitsky
1Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Abstract:
We report a rare complication of rectourethral fistula formation 6 weeks after a 70-year-old man underwent an uneventful HoLEP procedure. Cystourethrogram confirmed the diagnosis and the patient was managed conservatively with chronic indwelling catheter placement for 6 weeks. After this, his symptoms resolved completely and a repeat cystourethrogram showed marked resolution of the fistulous tract. The cause of the fistula formation is believed to be due to a delayed thermal or infectious reaction. Post-procedure follow up is necessary in all patients to monitor for complications that do not arise immediately after surgery.
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