Iachetta R P, Urciuoli P, Blasi S, Brunelli D, Degli Effetti E, D'Orazi V, Maturo A, Iavarone Alessandro, Custureri F
Università degli Studi, La Sapienza, di Roma.
G Chir. 2006 Jun-Jul;27(6-7):265-8.
Rectourethral fistulas are an uncommon complication of urinary or rectal surgery, trauma, inflammatory disease, radiation therapy for prostate cancer; they represent an unique challenge for the surgeon. Although closure can occure spontaneously, most cases of acquired rectourethral fistula need surgical repair. Despite a century of surgical experience, no single approach has been universally accepted. We report a case of a rectourethral fistula occurred in a 73 year-old man after a radical retropubic prostatectomy and external beam irradiation for prostate cancer, successfully treated with perineal approach.
直肠尿道瘘是泌尿外科或直肠外科手术、外伤、炎症性疾病、前列腺癌放射治疗后罕见的并发症；对外科医生来说，这是一项独特的挑战。尽管瘘口可能会自发闭合，但大多数后天性直肠尿道瘘病例仍需手术修复。尽管有一个世纪的手术经验，但尚无一种单一的手术方法被广泛接受。我们报告一例73岁男性在耻骨后前列腺癌根治术及体外照射后发生直肠尿道瘘，采用会阴入路成功治疗的病例。
