Management of rectal injury and rectourinary fistula from radical prostatectomy
Objective: This study aimed to demonstrate our management of rectal injury (RI) and rectourinary fistula (RUF) from radical prostatectomy (RP) and identify a possible factor that increased the chance of developing RUF. Materials and Methods: Between January 2011 and December 2019, a total of 14 case...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=1;spage=31;epage=34;aulast=Luchaichana |
| _version_ | 1797902784350126080 |
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| author | Nuttaphon Luchaichana Patkawat Ramart |
| author_facet | Nuttaphon Luchaichana Patkawat Ramart |
| author_sort | Nuttaphon Luchaichana |
| collection | DOAJ |
| description | Objective: This study aimed to demonstrate our management of rectal injury (RI) and rectourinary fistula (RUF) from radical prostatectomy (RP) and identify a possible factor that increased the chance of developing RUF.
Materials and Methods: Between January 2011 and December 2019, a total of 14 cases of RI were retrospectively reviewed and analyzed, including preoperative, perioperative, and postoperative information.
Results: In all 14 cases of RI, the average age at RP was 66.3 years (54–77). During the study period, 8 of 14 cases of RI occurred in our hospital, and the incidence of RI was 0.42%. RI was intraoperative recognition in 8 cases and delayed diagnosis in 6 cases. For immediate recognition, 4 of 8 cases were primarily repaired without developing RUF and did not require diverting colostomy and suprapubic cystostomy. RUF occurred in 10 cases including 4 cases of intraoperative recognition and all cases of delayed diagnosis. In a subgroup analysis of RI that occurred in our hospital, the timing for diagnosis was clinically and statistically significant difference (P = 0.029). Instantly detected RI during RP and intraoperative rectal repair resulted in no postoperative complication. Among all 10 cases of RUF, 5 cases were successfully repaired by modified York–Mason procedure with dartos tissue flap interposition. No major complications were reported.
Conclusions: Incidence of RI was 0.42% and intraoperative recognition of RI was a key to prevent the development of RUF. Modified York–Mason procedure with dartos tissue flap interposition was an effective treatment for RUF. |
| first_indexed | 2024-04-10T09:23:06Z |
| format | Article |
| id | doaj.art-430534d2219c4396bc20a8cf5207e2dc |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-04-10T09:23:06Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-430534d2219c4396bc20a8cf5207e2dc2023-02-20T07:29:48ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342023-01-01151313410.4103/ua.ua_179_21Management of rectal injury and rectourinary fistula from radical prostatectomyNuttaphon LuchaichanaPatkawat RamartObjective: This study aimed to demonstrate our management of rectal injury (RI) and rectourinary fistula (RUF) from radical prostatectomy (RP) and identify a possible factor that increased the chance of developing RUF. Materials and Methods: Between January 2011 and December 2019, a total of 14 cases of RI were retrospectively reviewed and analyzed, including preoperative, perioperative, and postoperative information. Results: In all 14 cases of RI, the average age at RP was 66.3 years (54–77). During the study period, 8 of 14 cases of RI occurred in our hospital, and the incidence of RI was 0.42%. RI was intraoperative recognition in 8 cases and delayed diagnosis in 6 cases. For immediate recognition, 4 of 8 cases were primarily repaired without developing RUF and did not require diverting colostomy and suprapubic cystostomy. RUF occurred in 10 cases including 4 cases of intraoperative recognition and all cases of delayed diagnosis. In a subgroup analysis of RI that occurred in our hospital, the timing for diagnosis was clinically and statistically significant difference (P = 0.029). Instantly detected RI during RP and intraoperative rectal repair resulted in no postoperative complication. Among all 10 cases of RUF, 5 cases were successfully repaired by modified York–Mason procedure with dartos tissue flap interposition. No major complications were reported. Conclusions: Incidence of RI was 0.42% and intraoperative recognition of RI was a key to prevent the development of RUF. Modified York–Mason procedure with dartos tissue flap interposition was an effective treatment for RUF.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=1;spage=31;epage=34;aulast=Luchaichanaprostate cancerradical prostatectomyrectal injuryrectourinary fistula |
| spellingShingle | Nuttaphon Luchaichana Patkawat Ramart Management of rectal injury and rectourinary fistula from radical prostatectomy Urology Annals prostate cancer radical prostatectomy rectal injury rectourinary fistula |
| title | Management of rectal injury and rectourinary fistula from radical prostatectomy |
| title_full | Management of rectal injury and rectourinary fistula from radical prostatectomy |
| title_fullStr | Management of rectal injury and rectourinary fistula from radical prostatectomy |
| title_full_unstemmed | Management of rectal injury and rectourinary fistula from radical prostatectomy |
| title_short | Management of rectal injury and rectourinary fistula from radical prostatectomy |
| title_sort | management of rectal injury and rectourinary fistula from radical prostatectomy |
| topic | prostate cancer radical prostatectomy rectal injury rectourinary fistula |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=1;spage=31;epage=34;aulast=Luchaichana |
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