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A Curious Case of Rectal Ejaculation.

Frank L Ventura1, Christopher M Nguyen1, Alexander Dang1

  • 1Internal Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.

Cureus
|August 27, 2021
PubMed
Summary
This summary is machine-generated.

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A rare rectal-prostate fistula caused sperm to pass from the rectum. This complication, linked to traumatic Foley catheter use, highlights the need for careful medical device management.

Area of Science:

  • Urology
  • Gastroenterology
  • Medical Complications

Background:

  • Rectal-prostate fistulas are uncommon, typically iatrogenic connections between the prostatic urethra and rectum.
  • While often linked to other pathologies, this case explores a rare etiology related to medical device placement.

Observation:

  • A 33-year-old male presented with testicular pain and rectal passage of sperm during ejaculation for two years.
  • Imaging revealed a rectal-prostate fistula, suspected to be caused by traumatic Foley catheterization with premature balloon dilation.

Findings:

  • Surgical repair and antibiotics resolved the fistula.
  • Post-treatment, repeat imaging confirmed fistula resolution, though with mildly reduced antegrade ejaculatory volume.
Keywords:
fistulasfoley catheterinternal medicinerectourethral fistulaurology

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Implications:

  • This case represents the first reported instance of a rectal-prostate fistula secondary to Foley catheter placement.
  • It underscores the critical importance of provider awareness regarding potential complications associated with urinary catheter use.
  • Clinicians must remain vigilant about the risks of even routine medical procedures.