Transanal repair of rectourethral fistula after radical retropubic prostatectomy: a case report
Kato, Y.; Wakita, T.; Kanemitu, Y.; Hirabayashi, A.; Hayashi, N.
Hinyokika Kiyo. Acta Urologica Japonica 52(5): 379-382
2006
ISSN/ISBN: 0018-1994 PMID: 16758730 Document Number: 600739
A 65-year-old man underwent a radical retropubic prostatectomy for prostate cancer, and 5 days later fecaluria and serous diarrhea appeared suddenly. Cystourethrography domonstrated the flow of contrast material into the rectum through the fistula, so we diagnosed a rectourethral fistula. We first attempted conservative management, but the fistula did not close spontaneously. So we performed the transanal repair of rectourethral fistula about 2 months after surgery. This repair was effective, and the patient was alive without fistula recurrence at about 2 years after the repair surgery. This approach is simple and does not require a new incision, but it is only useful for low rectourethral