Management of Radiation Anterior Prostato-symphyseal Fistulas With Interposition Rectus Abdominis Muscle Flap

Radiation-induced complex anterior urinary fistulation for prostate cancer: a retrospective multicenter study from the Trauma and Urologic Reconstruction Network of Surgeons (TURNS)

“…In our cohort, only two men went on to have a subsequent artificial sphincter but were certainly not the only ones with urinary incontinence. (3) Bladder capacity must be of adequate volume prior to performing a Operating time (h) 6 (5.7, 7.5) 9 (5,9) 0.36…”

“…A small series presented by Kaufman et al [9] describes a surgical technique for rectus flap interposition for four men with anterior prostato-symphyseal fistulas. In their series, the authors describe a prostate-sparing-fistula closure technique for four men who received radiation for prostate cancer and developed an anterior fistula.…”

“…When rectus or omental flaps were used, a combined abdominoperineal approach was performed. The median operative time for primary repair procedures was 8 h (IQR 5,9) with an EBL of 350 cc (IQR 175, 550 cc). Two men required a blood transfusion (2 units and 3 units).…”

“…To date, there are limited data on anterior urinary fistulae following treatment for prostate cancer [4,6,9]. By describing the largest series of this adverse event, our objective is to characterize differences in patient presentation and surgical management for urinary fistulae to the pubic symphysis and/or the thigh following treatment for prostate cancer.…”

Urinary Diversion for Severe Urinary Adverse Events of Prostate Radiation: Results from a Multi-Institutional Study

“…Previous studies of the surgical management of post RT UAEs often focus on the subsets of patients, such as those with recto-urethral fistula 3 or bony complications in the pelvis 4,5 .…”