Seminal vesicle-rectal fistula

Abstract

A previously unreported complication of low anterior resection of the rectum, seminal vesicle-rectal fistula, was encountered one month after surgery in an elderly patient with adenocarcinoma of the midrectum. Antibiotic-induced colitis in the immediate postoperative period led to anastomotic leakage with abscess formation and ensuing fistulization to the surgically denuded right seminal vesicle. Pneumaturia, bacteriuria, and right testicular pain were treated by cutaneous vasostomy and antimicrobial therapy. Despite recurrent low-grade urinary sepsis controlled by alternating courses of various antimicrobials, and radiation therapy for local tumor recurrence, the patient remained reasonably healthy until his death two years later due to stroke associated with cerebral metastases.

Coloseminal Vesicle Fistula: Report of a Case and Review of the Literature

“…Because of the patient_s fear of impotence, no surgical intervention was performed. Goldman et al 8 reported a fistula as a complication of low anterior resection in a 76-year-old male with rectal adenocarcinoma. Four weeks after surgery, the patient developed testicular pain, pneumaturia, and urinary frequency.…”

Seminal Vesicle-Rectal Fistula with Preceding Right Acute Epididymitis

“…The other 3 cases were related to rectal adenocarcinoma, and either colorectal resection or radiation therapy had already been performed in these cases [1,3,4] . Pneumaturia was reported in 1 of these cases.…”

Seminal vesicle cysts and associated anomalies

“…Diabetes, infected urine, prolonged catheterization, instrumentation of the urinary tract and anatomical anomalies all predispose to abscess formation. Symptoms include voiding dysfunction, perineal, testicular, inguinal or abdominal pain, malaise, fever, chills, and occasionally erectile dysfunction [64,65]. Physical findings frequently include a palpable mass superior to the prostate, as well as perineal tenderness.…”