"Robotic-assisted surgical management of a post-brachytherapy rectoprostatic fistula: a case report".

ABSTRACT:

Background

Rectourethral fistula represents a rare but devastating complication following prostate cancer treatment, with radiation-induced fistulas presenting particular challenges due to compromised tissue vascularity and healing capacity. While various surgical approaches have been described, management of complex post-brachytherapy rectoprostatic fistulas remains challenging with limited reports of successful robotic-assisted techniques. This case report presents a novel robotic-assisted surgical approach incorporating technical modifications including rectal rotation with mesorectal interposition, which has not been widely documented in the literature for managing radiation-induced rectoprostatic fistulas.

Case presentation

A 54-year-old male with localized prostate can

SUBMITTER: Goncharov A 

PROVIDER: S-EPMC12599079 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature