Case Report

Post-Radical Prostatectomy Rectourethral Fistula: Endosopic Management
Yogesh Bhandari, Amit Khandkar, Apurva Chaudhary, Pritesh Srimali, D. Desai, V. Srinivas

P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, India

Address of Corresponding Author

Urol Int 2008;81:474-476 (DOI: 10.1159/000167850)

  Key Words

• Cynoacrylate glue
• Rectourethral fistula
• Endoscopic management
• Post-radical prostatectomy

  Abstract

Rectal injuries diagnosed during radical prostatectomy are readily treated with primary closure and omental interposition. However, once this fails and a fistula develops, the treatment gets more complex. Various surgeries have been described to manage these fistulae, but these are not done frequently and require a great deal of expertise. We report a patient with post-radical prostatectomy rectourethral fistula, treated with cyanoacrylate glue injected through a colonoscope as the fistulous tract was well visualized per rectum. The patient is voiding well per urethra with no rectal leakage 3 months post-catheter removal. Thus, use of cyanoacrylate glue as a minimally invasive non-surgical technique for management of rectourethral fistula appears to be a good option which can be tried before embarking on major surgery.

Copyright © 2008 S. Karger AG, Basel

  Author Contacts

Yogesh Bhandari
Veer Savarkar Marg, Mahim
Mumbai 400016 (India)
Tel. +91 98 3382 2976, Fax +91 22 2444 9156
E-Mail yogeshbhandari@hotmail.com

  Article Information

Received: November 21, 2006
Accepted after revision: March 13, 2007
Published online: December 10, 2008
Number of Print Pages : 3
Number of Figures : 3, Number of Tables : 0, Number of References : 4