Conservative management of rectourethral fistula: modern treatment

Popov, S.V.; Орлов, И.Н.; Gadjiev, Nariman; Obidnyak, V M; Сытник, Дмитрий Анатольевич; Kulikov, A.Y. Kulikov; Akopyan, G.N.; Gadzhieva, Z K; Spiridonov, N.Y. Spiridonov

doi:10.18565/urology.2019.6.44-47

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fistulae were not evident on RGU at 4 weeks post treatment. 7 For Mr X, DMARDs and antibiotic usage to maintain sterile urine, as well as diverting urine away from the site of the fistula with catheters, encouraged the spontaneous healing and closure in roughly the same timeframe.…”

Section: Discussionmentioning

confidence: 99%

Complex case of granulomatosis with polyangiitis involving the urethra and prostate causing outflow obstruction and ano-urethral fistula

Rashid

Cox

2022

Journal of Clinical Urology

View full text Add to dashboard Cite

Granulomatosis with polyangiitis (GPA) is an autoimmune small to medium vessel inflammatory vasculitis that can affect multiple organ systems, with predominantly pulmonary, renal and musculoskeletal manifestations. Rarely, there have been cases involving the genitourinary system, particularly causing urethritis and prostatitis. In some incidences, this may mimic prostate abscess or malignancy. We present a case of a 36-year-old man with refractory urinary retention secondary to prostate abscess due to GPA. This case necessitated transurethral resection of the prostate (TURP) and supra-pubic catheterisation, later complicated by a peri-anal abscess and severe urethritis. A potential recto-urethral fistula was noted on magnetic resonance imaging (MRI) and cystourethroscopy, which was managed conservatively with long-term catheter drainage until resolution. The patient ultimately displayed many severe clinical manifestations of a systemic vasculitis and this case report emphasises the importance of considering autoimmune vasculitis conditions as a differential diagnosis when managing inflammatory genitourinary conditions. This case report highlights the importance of obtaining sufficient tissue to make a timely diagnosis in order to initiate immunosuppressant therapy and disease-modifying anti-rheumatic drugs (DMARDs).

show abstract

Section: Discussionmentioning

confidence: 99%

Complex case of granulomatosis with polyangiitis involving the urethra and prostate causing outflow obstruction and ano-urethral fistula

Rashid

Cox

2022

Journal of Clinical Urology

View full text Add to dashboard Cite

show abstract

Vacuum-aspiration system in the treatment of urethrorectal fistula after laparoscopic radical prostatectomy

Proniagin¹,

Stegniy

Двойникова

et al. 2023

Tihookeanskij medicinskij žurnal

View full text Add to dashboard Cite

Prevailing complications of radical prostatectomy include rectal injuries and urethrorectal fistulas. Their surgical treatment is highly invasive with 25% recurrence rate. The most commonly used techniques include the York-Mason procedure and transperineal fistuloplasty using local tissue or gracilis muscle flap of thigh. In addition, endoscopic vacuum-aspiration therapy has been used to treat failed anastomoses of digestive tract since 2006. The therapy involves continuous active aspiration through a monoporous foam material of the required size fixed to the aspiration tube. The paper presents a clinical case of successful treatment of urethrorectal fistula by means of a vacuum-aspiration system, which enables the fistula to be completely separated and urethral and anal continence to be preserved. On the 45th day after radical prostatectomy, the cystoscopy and rectoromanoscopy detected closure of the defect; independent urination was restored. 6 months later, independent defecation came back. Relapse-free period for the underlying disease and its complications comprised 32 months.

show abstract

Conservative management of rectourethral fistula: modern treatment

Cited by 2 publications

References 0 publications

Complex case of granulomatosis with polyangiitis involving the urethra and prostate causing outflow obstruction and ano-urethral fistula

Complex case of granulomatosis with polyangiitis involving the urethra and prostate causing outflow obstruction and ano-urethral fistula

Vacuum-aspiration system in the treatment of urethrorectal fistula after laparoscopic radical prostatectomy

Contact Info

Product

Resources

About