Management of acquired rectourethral fistulas in adults
Rectourethral fistula is an uncommon but devastating condition resulting from surgery, radiation, trauma, inflammation, or occasionally anorectal anomaly. Because of involving the urinary and the digestive system, surgical repair can be challenging. More than 40 different surgical approaches were de...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2018-07-01
|
Series: | Asian Journal of Urology |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388218300067 |
id |
doaj-335b6cb0b9f9413f8ae03588b064fe85 |
---|---|
record_format |
Article |
spelling |
doaj-335b6cb0b9f9413f8ae03588b064fe852020-11-24T21:58:22ZengElsevierAsian Journal of Urology2214-38822018-07-0153149154Management of acquired rectourethral fistulas in adultsShulian Chen0Rang Gao1Hong Li2Kunjie Wang3Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaDepartment of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaCorresponding author.; Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, Sichuan, ChinaRectourethral fistula is an uncommon but devastating condition resulting from surgery, radiation, trauma, inflammation, or occasionally anorectal anomaly. Because of involving the urinary and the digestive system, surgical repair can be challenging. More than 40 different surgical approaches were described in the literature. However, no standardized management exists due to the rarity and complexity of the problem. Spontaneous closure of fistula is rare and most cases need reconstructive procedures. Appropriate preoperative assessment is crucial for the decision of operation time and method. Gradually accumulating evidence indicates surgeons should take fistula size, tissue health and vascularity associated with radiation or infection, urethral stricture, and bladder neck sclerosis into consideration and make a proper treatment plan according to the features of various approaches. Accurate preoperative evaluation and proper approach selection would increase success rates. Multiple surgical team corporation, including colorectal, urological and plastic surgeons, would optimize the outcomes. Keywords: Rectourethral fistula, Prostate cancer, Radical prostatectomy, Radiation therapy, Diagnosis, Managementhttp://www.sciencedirect.com/science/article/pii/S2214388218300067 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shulian Chen Rang Gao Hong Li Kunjie Wang |
spellingShingle |
Shulian Chen Rang Gao Hong Li Kunjie Wang Management of acquired rectourethral fistulas in adults Asian Journal of Urology |
author_facet |
Shulian Chen Rang Gao Hong Li Kunjie Wang |
author_sort |
Shulian Chen |
title |
Management of acquired rectourethral fistulas in adults |
title_short |
Management of acquired rectourethral fistulas in adults |
title_full |
Management of acquired rectourethral fistulas in adults |
title_fullStr |
Management of acquired rectourethral fistulas in adults |
title_full_unstemmed |
Management of acquired rectourethral fistulas in adults |
title_sort |
management of acquired rectourethral fistulas in adults |
publisher |
Elsevier |
series |
Asian Journal of Urology |
issn |
2214-3882 |
publishDate |
2018-07-01 |
description |
Rectourethral fistula is an uncommon but devastating condition resulting from surgery, radiation, trauma, inflammation, or occasionally anorectal anomaly. Because of involving the urinary and the digestive system, surgical repair can be challenging. More than 40 different surgical approaches were described in the literature. However, no standardized management exists due to the rarity and complexity of the problem. Spontaneous closure of fistula is rare and most cases need reconstructive procedures. Appropriate preoperative assessment is crucial for the decision of operation time and method. Gradually accumulating evidence indicates surgeons should take fistula size, tissue health and vascularity associated with radiation or infection, urethral stricture, and bladder neck sclerosis into consideration and make a proper treatment plan according to the features of various approaches. Accurate preoperative evaluation and proper approach selection would increase success rates. Multiple surgical team corporation, including colorectal, urological and plastic surgeons, would optimize the outcomes. Keywords: Rectourethral fistula, Prostate cancer, Radical prostatectomy, Radiation therapy, Diagnosis, Management |
url |
http://www.sciencedirect.com/science/article/pii/S2214388218300067 |
work_keys_str_mv |
AT shulianchen managementofacquiredrectourethralfistulasinadults AT ranggao managementofacquiredrectourethralfistulasinadults AT hongli managementofacquiredrectourethralfistulasinadults AT kunjiewang managementofacquiredrectourethralfistulasinadults |
_version_ |
1725852186444824576 |