Liedberg Fredrik, Baseckas Gediminas, Buchwald Pamela, Lydrup Marie-Louise
urolog, VO urologi, Skånes universitetssjukhus Malmö; institutionen för translationell medicin, Lunds universitet.
VO urologi , Skånes universitetssjukhus Malmö.
Lakartidningen. 2024 Aug 2;121:24003.
It is generally recommended to refrain from taking rectal biopsies in radioproctopathy. Herein we describe the clinical characteristics of urorectal fistulas after such biopsies in five patients. Conservative treatment is rarely successful. Diagnostic difficulties and comorbidities limiting the possibilities for radical surgical treatment options (i e pelvic exenteration) for urorectal fistulas are discussed.
一般建议在放射性直肠病患者中避免进行直肠活检。在此，我们描述了5例患者在进行此类活检后发生泌尿直肠瘘的临床特征。保守治疗很少成功。本文还讨论了诊断困难以及合并症对泌尿直肠瘘根治性手术治疗方案（即盆腔脏器清除术）可能性的限制。
