Delayed Urinary Fistula following Abdominal Perineal Resection of Rectum and Anal Canal

Khan, Sarhad; Desai, P G; Jayachandran, S.; Smith, Noelle B.

doi:10.1159/000281011

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Yet situations have been described that involve some type of insult to the ureteral microvasculature. [21][22][23][24][25] Thus, a patient with a history of ureteral or retroperitoneal surgery or radiation to the retroperitoneum may be predisposed to ureteral ischemia and could suffer long-term complications from access sheath-assisted ureteroscopy. Such individuals may benefit from interventions that decrease the potential risk of access sheath use, such as preoperative stent placement, use of a smaller access sheath, and shorter operative time.…”

Section: Discussionmentioning

confidence: 99%

Laser Doppler Flowmetric Determination of Ureteral Blood Flow after Ureteral Access Sheath Placement

Lallas

Auge

Raj

et al. 2002

Journal of Endourology

125

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In this animal model, the access sheath does cause a transient decrease in ureteral blood flow. Nonetheless, compensatory mechanisms of the ureteral wall restore blood flow to near-baseline rates and preserve urothelial integrity, suggesting that use of the ureteral access sheath remains a safe adjunct to flexible ureteroscopy. Because the chronic effects of the access sheath have yet to be elucidated, care must be taken in selecting an appropriate-size sheath for each individual case. Preventive measures may be available to help avoid sheath-related ureteral injury in those patients identified as high risk.

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Section: Discussionmentioning

confidence: 99%

Laser Doppler Flowmetric Determination of Ureteral Blood Flow after Ureteral Access Sheath Placement

Lallas

Auge

Raj

et al. 2002

Journal of Endourology

125

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“…In addition, penetrating trauma, some inflammatory processes, and neoplastic involvement can all cause GU injury resulting in urine leaks or fistulas. [3][4][5][6] If injury is detected early at the time of surgery or injury, primary repair is usually employed. However, due to increases in laparoscopic technique, injury may not be detected at the time of initial insult.…”

Section: Genitourinary Systemmentioning

confidence: 99%

Imaging and Management of Leaks and Fistulas

2003

Semin intervent Radiol

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Leaks and fistulas can involve multiple organ systems, including the genitourinary, biliary, and gastrointestinal systems. Etiologies include infectious, inflammatory, traumatic injury, postoperative, and iatrogenic injury. Early identification and correct diagnosis are imperative in the appropriate management of these conditions. An array of imaging modalities is available for diagnosing leaks and fistulas, including fluoroscopy, ultrasound, computed tomography, magnetic resonance imaging, and nuclear scintigraphy. Management is a multidisciplinary approach with close communication between the interventional radiologist, surgeon, and medical subspecialist.Objectives: Upon completion of this article, the reader should be able to (1) summarize the available imaging modalities for diagnosis of leaks and fistulas, and (2) understand a basic approach to imaging-guided management of leaks and fistulas. Accreditation: Tufts University School of Medicine (TUSM) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. TUSM takes responsibility for the content, quality, and scientific integrity of this CME activity. Credit: TUSM designates this educational activity for a maximum of 1 Category 1 credit toward the AMA Physicians Recognition Award. Each physician should claim only those credits that he/she actually spent in the activity.

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Ureteric Ischaemia Following Major Colorectal Resection

Hewett

Joseph

Bokey

1995

Australian and New Zealand Journal of Surgery

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Delayed Urinary Fistula following Abdominal Perineal Resection of Rectum and Anal Canal

Abstract: Genitourinary dysfunction is one of the major complications of abdominal perineal resection. The onset may be in the remote postoperative period. We report a rare case of late perineal urinary fistula and pelvic urinoma which occurred 3 months following surgery.

Cited by 3 publications

References 8 publications

Laser Doppler Flowmetric Determination of Ureteral Blood Flow after Ureteral Access Sheath Placement

Laser Doppler Flowmetric Determination of Ureteral Blood Flow after Ureteral Access Sheath Placement

Imaging and Management of Leaks and Fistulas

Ureteric Ischaemia Following Major Colorectal Resection

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