Meng Xiaosong, Costa Daniel N
Departments of Urology (X.M. and D.N.C) and Radiology (D.N.C), University of Texas Southwestern Medical Center, Dallas, TX, USA.
Urol Case Rep. 2024 Aug 22;56:102827. doi: 10.1016/j.eucr.2024.102827. eCollection 2024 Sep.
We describe the first case of a recto-urethral fistula following an MRI-guided transurethral prostate ablation procedure (TULSA). The patient experienced urine per rectum six weeks after the procedure. A voiding cystourethrogram confirmed the presence of a recto-urethral fistula, which was managed with a urethral catheter and a suprapubic tube. Patient was then asymptomatic, with spontaneous healing of the fistula and catheters removed after six weeks. Not previously reported following TULSA, rectourethral fistula is a rare but known complication with other focal therapy modalities. Awareness of this potential complication will help improve patient counseling, early detection and adequate management of this rare complication.
我们描述了首例在磁共振成像引导下经尿道前列腺消融术（TULSA）后发生直肠尿道瘘的病例。该患者在术后六周出现经直肠排尿。排尿性膀胱尿道造影证实存在直肠尿道瘘，通过留置尿道导管和耻骨上造瘘管进行处理。此后患者无症状，瘘口自行愈合，六周后拔除导管。直肠尿道瘘在TULSA术后此前未见报道，是一种罕见但在其他局部治疗方式中已知的并发症。认识到这种潜在并发症将有助于改善患者咨询、早期检测并对这种罕见并发症进行充分管理。
