Department of General Surgery, Division of Colorectal Surgery, Robert Wood Johnson University Hospital/UMDNJ, New Brunswick, NJ, USA.
Tech Coloproctol. 2011 Jun;15(2):209-11. doi: 10.1007/s10151-011-0679-3. Epub 2011 Mar 23.
Rectourethral fistula (RUF) is a relatively rare complication of radical prostatectomy, but is extremely difficult to treat. Multiple surgical approaches have been described for definitive treatment, but to date none of them have been determined to be the gold standard, either due to a high recurrence rate of the condition or due to the morbidity associated with the procedure. In this case report, we describe a successful repair of iatrogenic RUF through a multidisciplinary approach consisting of cystoscopy, urethral stent placement, colonoscopy, and TEM-assisted rectal advancement flap.
直肠尿道瘘（RUF）是根治性前列腺切除术的一种罕见并发症，但极难治疗。已有多种手术方法被描述用于确定性治疗，但迄今为止，由于该疾病的高复发率或与手术相关的发病率，没有一种方法被确定为金标准。在本病例报告中，我们描述了通过包括膀胱镜检查、尿道支架置入、结肠镜检查和 TEM 辅助直肠推进皮瓣在内的多学科方法成功修复医源性 RUF。
