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Rectal perforation as a complication of urethral instrumentation: 2 case reports
1Department of Surgery, Ohio State University, Columbus.
The Journal of Urology
|September 1, 1988
Summary
Urethrorectal perforation is a rare complication of urethral instrumentation. Prompt surgical management with colostomy and cystostomy diversion leads to excellent healing and prevents fistula formation.
Area of Science:
- Urology
- Surgical Complications
Background:
- Urethral instrumentation is a common urological procedure.
- Complications can arise, necessitating careful management.
Observation:
- A 15-year review identified two cases of urethrorectal perforation.
- These rare injuries resulted from urethral instrumentation.
Findings:
- Patients were treated with loop colostomy and suprapubic cystostomy.
- Excellent healing and no fistula formation were observed at 24-month follow-up.
Implications:
- Highlights the importance of prompt and aggressive management for urethrorectal perforation.
- Emphasizes diagnostic and preventive principles for this rare complication.