Robotic Management of Rectourethral Fistulas After Focal Treatment for Prostate Cancer.

ABSTRACT:

Objective

To describe our management strategy for rectourethral fistula (RUF) after focal treatment for prostate cancer (PCa) using 2 cases as an example. Almost 50% of RUFs are associated with energy treatment modalities for PCa. The adjacent damage to healthy tissue along with limited pliability of it makes the success of the repair troublesome. There is no standardized approach for these scenarios.

Materials and methods

For case 1, an 83-year-old man underwent cryotherapy for PCa. On postoperative day 14, he presented with urine per rectum. Cystoscopy confirmed the presence of an RUF. Urinary and fecal diversions were unsuccessful. Three months later, robotic surgical repair was performed. For case 2, an 85-year-old man underwent salvage therapy for PCa with high-intensit

SUBMITTER: Medina LG 

PROVIDER: S-EPMC9235520 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature