Kato Yasuto, Wakita Toshiaki, Kanemitu Yukihide, Hirabayashi Atsushi, Hayashi Norio
The Department of Urology, Aichi Cancer Center.
Hinyokika Kiyo. 2006 May;52(5):379-82.
A 65-year-old man underwent a radical retropubic prostatectomy for prostate cancer, and 5 days later fecaluria and serous diarrhea appeared suddenly. Cystourethrography domonstrated the flow of contrast material into the rectum through the fistula, so we diagnosed a rectourethral fistula. We first attempted conservative management, but the fistula did not close spontaneously. So we performed the transanal repair of rectourethral fistula about 2 months after surgery. This repair was effective, and the patient was alive without fistula recurrence at about 2 years after the repair surgery. This approach is simple and does not require a new incision, but it is only useful for low rectourethral
一名65岁男性因前列腺癌接受了耻骨后根治性前列腺切除术，5天后突然出现粪尿和浆液性腹泻。膀胱尿道造影显示造影剂通过瘘管流入直肠，因此我们诊断为直肠尿道瘘。我们首先尝试保守治疗，但瘘管未自行闭合。于是我们在手术后约2个月进行了经肛门直肠尿道瘘修补术。该修补术有效，患者在修补手术后约2年存活且无瘘管复发。这种方法简单，不需要新的切口，但仅适用于低位直肠尿道瘘。
