Transanal endoscopic microsurgical repair of iatrogenic recto-urethral fistula

被引:19
作者
Quinlan, M
Cahill, R
Keane, F [1 ]
Grainger, R
Butler, M
机构
[1] Adelaide & Meath Hosp Inc Natl Childrens Hosp, Dept Colorectal Surg, AMNCH, Dublin 24, Ireland
[2] Adelaide & Meath Hosp Inc Natl Childrens Hosp, Dept Urol, Dublin 24, Ireland
来源
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND | 2005年 / 3卷 / 06期
关键词
recto-urethral fistula; transanal endoscopic microsurgery; TEMS;
D O I
10.1016/S1479-666X(05)80053-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Recto-urethral fistula formation following radical prostatectomy is an uncommon but potentially devastating event. Traditional surgery for such fistulae is technically demanding, jeopardizes continence and usually necessitates a diverting colostomy. We present the case of an iatrogenic fistula treated by a transanal endoscopic microsurgical approach, without recourse to a stoma. Method: A 71-year-old man had recently undergone a radical prostatectomy, complicated by significant intra-operative haemorrhage. He subsequently developed a recto-urethral fistula, confirmed clinically and endoscopically. Due to his bleeding diathesis, he was considered for, and underwent, a transanal endoscopic microsurgical (TEMS) repair. Conclusion: TEMS is a safe and reliable minimally-invasive surgical technique for the treatment of this difficult condition
引用
收藏
页码:416 / 417
页数:2
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