Transsphincteric repair of rectourethral fistulas following laparoscopic radical prostatectomy

被引:22
作者
Dafnis, G [1 ]
Wang, YH
Borck, L
机构
[1] Eskilstuna Cty Hosp, Dept Surg & Urol, Colorectal Unit, SE-63188 Eskilstuna, Sweden
[2] Eskilstuna Cty Hosp, Dept Surg & Urol, Urol Unit, SE-63188 Eskilstuna, Sweden
关键词
laparoscopic radical prostatectomy; rectourethral fistula; three-stage procedure; transsphincteric repair;
D O I
10.1111/j.1442-2042.2004.00928.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Rectourethral fistula is a serious complication following laparoscopic radical prostatectomy. We report our experience with a transsphincteric approach in the repair of this uncommon complication. The rectourethral fistula was repaired in a three-stage procedure comprising fecal diversion, transsphincteric repair of the fistula and, finally, closure of the stoma. Two patients with rectourethral fistulas underwent this procedure and the postoperative course was uneventful. In conclusion, a transsphincteric approach in the repair of rectourethral fistula by a three-stage procedure is safe and may be the treatment of choice.
引用
收藏
页码:1047 / 1049
页数:3
相关论文
共 10 条
[1]   Laparoscopic radical prostatectomy: Preliminary results [J].
Abbou, CC ;
Salomon, L ;
Hoznek, A ;
Antiphon, P ;
Cicco, A ;
Saint, F ;
Alame, W ;
Bellot, J ;
Chopin, DK .
UROLOGY, 2000, 55 (05) :630-633
[2]  
[Anonymous], 1992, J UROLOGY
[3]   POSTERIOR APPROACH TO THE RECTUM FOR TREATMENT OF SELECTED BENIGN LESIONS [J].
ARNAUD, A ;
FRETES, IR ;
JOLY, A ;
SARLES, JC .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1991, 6 (02) :100-102
[4]   SURGICAL-CORRECTION OF RECTOPROSTATIC FISTULA [J].
BAUER, HW ;
STURM, W ;
SCHMIEDT, E .
UROLOGY, 1984, 24 (05) :452-455
[5]  
Boushey RP, 1998, CAN J SURG, V41, P241
[6]   The York Mason approach to repair of iatrogenic rectourinary fistulae [J].
Fengler, SA ;
Abcarian, H .
AMERICAN JOURNAL OF SURGERY, 1997, 173 (03) :213-217
[7]   Perioperative complications of laparoscopic radical prostatectomy: The montsouris 3-year experience [J].
Guillonneau, B ;
Rozet, F ;
Cathelineau, X ;
Lay, F ;
Barret, E ;
Doublet, JD ;
Baumert, H ;
Vallancien, G .
JOURNAL OF UROLOGY, 2002, 167 (01) :51-56
[8]  
MASON AY, 1970, P ROY SOC MED, V63, P91
[9]  
PRASAD ML, 1983, DIS COLON RECTUM, V26, P716
[10]   CONSERVATIVE THERAPY OF RECTOURETHRAL FISTULA - 5-YEAR FOLLOW-UP [J].
THOMPSON, IM ;
MARX, AC .
UROLOGY, 1990, 35 (06) :533-536