Lassen P M, Mokulis J A, Kearse W S, Caballero R L, Quinones D
Department of Urology, Wilford Hall Medical Center, San Antonio, Texas, USA.
Urology. 1996 Apr;47(4):592-4; discussion 594-5. doi: 10.1016/S0090-4295(99)80503-2.
Inadvertent rectal injury during radical perineal prostatectomy may sometimes lead to the development of a rectocutaneous fistula. This has traditionally been managed with diverting colostomy until closure of the fistula is assured. We report 3 cases of rectocutaneous fistula following radical perineal prostatectomy, which were managed in a more conservative fashion. This included appropriate wound care, antibiotics, bowel rest, parenteral hyperalimentation, and, in the presence of a concomitant urine leak in 1 case, optimal urinary diversion and bed rest. All fistulas healed without incident.
根治性会阴前列腺切除术中意外的直肠损伤有时可能导致直肠皮肤瘘的形成。传统上，在确保瘘管闭合之前，一直采用结肠造口术来处理。我们报告了3例根治性会阴前列腺切除术后发生直肠皮肤瘘的病例，采用了更保守的处理方法。这包括适当的伤口护理、抗生素治疗、肠道休息、胃肠外营养，并且在1例伴有尿液渗漏的情况下，进行了最佳的尿液转流和卧床休息。所有瘘管均顺利愈合。
