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Urethrorectal Fistula

Rectourethral Fistula


Presentation

  • We present a new technique for repairing urethrorectal fistulas.[ncbi.nlm.nih.gov]
  • Abstract Management of a case of postoperative prostatic urethrorectal fistula is presented wherein the standard perineal repair failed.[ncbi.nlm.nih.gov]
  • […] if the condition was present at the time of inpatient admission.[icd.codes]
  • The patient was presented with history of bull horn injury 6 hours back. He was examined under general anaesthesia and found to have lacerations in the anus and anterior wall of rectum.[ncbi.nlm.nih.gov]
  • Case Presentation: We present a case of an 18-year-old male found to have a urethrorectal fistula after diagnostic work up for unejaculation.[ncbi.nlm.nih.gov]
Recurrent Urinary Tract Infection
  • A 65-year-old man with insulin-dependent diabetes mellitus and peripheral vascular disease was hospitalized 6 months after transurethral resection of the prostate for benign prostatic hyperplasia with a recurrent urinary tract infection, fecaluria, and[ncbi.nlm.nih.gov]
  • The patient gradually developed recurrent urinary tract infections and urine and semen leak from his rectum. He had a medical history of an… CONTINUE READING[semanticscholar.org]
  • Urethrogenital fistula in male patient is rare. 5,6,7 Adults may present with recurrent urinary tract infections, urine per the rectum, faecaluria, haematuria, pneumaturia and infection of the seminal vesicles.[jebmh.com]
  • TECHNICAL CONSIDERATIONS CASE REPORT A 65-year-old man with a 10-year history of insulin-dependent diabetes mellitus and peripheral vascular disease was hospitalized with a recurrent urinary tract infection.[kundoc.com]
Soft Tissue Mass
  • It facilitates the better planning for an intervention. 16,17 The signs most common in the presence of a fistula are air inside the bladder (90%), focal thickening of the bladder wall (90%), and/or of the adjacent intestinal wall (85%), extraluminal soft-tissue[jebmh.com]
Skin Patch
  • Successful repair was achieved by using a full thickness penile skin patch graft placed through a dorsal rectotomy incision.[ncbi.nlm.nih.gov]
Urethral Disease
  • Diseases Urinary Fistula Urogenital Abnormalities Urologic Surgical Procedures, Male[scholars.duke.edu]
  • Source MeSH Adult Evidence-Based Medicine Gracilis Muscle Humans Reconstructive Surgical Procedures Rectal Fistula Surgical Flaps Treatment Outcome Urethral Diseases Urinary Fistula Pub Type(s) Journal Article Review Language ita PubMed ID 25744705 TY[unboundmedicine.com]
  • Imaging of urethral disease: a pictorial review. Radiographics 2004;24:S195-S216. [ CrossRef ] [ Pubmed ] Hanus T. Rectourethral fistulas. Int Braz J Urol 2002;28:338-345. [ Pubmed ] Gupta V, Sharma SB.[ijcasereportsandimages.com]
  • disease 尿道疾患 periurethral gland 尿道周囲腺 periurethral injection of bulking agent 尿道周囲注入術 periurethral abscess 尿道周囲膿瘍 urethral neoplasm 尿道腫瘍 urethral syndrome 尿道症候群 epispadia 尿道上裂 urethral plication 尿道皺襞形成[術] urethral stent 尿道ステント urethral sling surgery[glossary.urol.or.jp]
Retrograde Ejaculation
  • In our case, the cause that led to the investigation of the patient was symptoms similar to retrograde ejaculation after masturbation, which is a rather rare manifestation of urethrorectal fistula.[ncbi.nlm.nih.gov]

Workup

  • […] history of pelvic interventions including chemoradiotherapy and chronic indwelling ureteral catheters requiring routine exchanges due to repeated urinary tract infections, we should have suspected the possibility of the UAF during the earlier stage of the workup[surgicalcasereports.springeropen.com]

Treatment

  • Urethrorectal fistulas are rare, and several open operative approaches and techniques have been used in treatment.[ncbi.nlm.nih.gov]
  • INTERVENTION: All patients initially received both a urinary and a bowel diversion as the first step of the treatment.[ncbi.nlm.nih.gov]
  • Previously reported embryologic explanations, a detailed approach for surgical management and an alternative treatment are discussed.[ncbi.nlm.nih.gov]
  • Conservative treatments had failed in all cases. The time from the diagnosis of urethrorectal fistula to surgery was 4 weeks to 4 years. RESULTSFive men underwent excision and closure of a urethrorectal fistula with diverting colostomy.[ncbi.nlm.nih.gov]
  • Local treatments for prostatic cancer: including Radiotherapy, Brachytherapy (0.4%), Cryotherapy (0.5 to 2%) or HIFU.3. Open prostatectomy or TURP or overly aggressive TUR of bladder neck contracture.4. Anorectal surgery: abdomino-perineal resect.5.[slideshare.net]

Prognosis

  • A high index of clinical suspicion for a UIAF is paramount to the diagnosis and can have a significant impact on prognosis.[academic.oup.com]
  • The prognosis depends not only on the associated cardiac or renal anomalies but also on the location of the urethral opening [2].[jpss.eu]
  • Treatment and prognosis The extensive list of creative operative procedures used for the rectal atresia reflects the great difficulty faced in treating this anomaly.[panafrican-med-journal.com]
  • Skoog and Belman proposed a classification system for penile agenesis where it has been emphasized that the position of the urethral opening has a bearing on the prognosis.[sjkdt.org]
  • The pre-treatment scan is a key point in the treatment of these patients and conditions the prognosis. Disclosure of interest The authors declare that they have no conflicts of interest concerning this article.[em-consulte.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • The etiology was surgical (radical prostatectomy) in 3 cases, traumatic in 1 and idiopathic in 1. All 5 patients had urinary tract infection and pneumaturia, and 3 (60%) had watery stool. Conservative treatments had failed in all cases.[ncbi.nlm.nih.gov]
  • PURPOSE: Urethrorectal fistulas are rare, and the etiology is usually traumatic or iatrogenic (postoperative).[ncbi.nlm.nih.gov]
  • References 1 : Rectal injury occurring at radical retropubic prostatectomy for prostate cancer: etiology and treatment . Urology 1993 ; 42 : 401.[auajournals.org]

Epidemiology

  • Renobronchial fistulas most commonly result from chronic renal infections, perinephric abscess, and, in appropriate epidemiologic settings, tuberculosis and ecchinococcal disease.[pubs.rsna.org]
Sex distribution
Age distribution

Prevention

  • Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ][icdlist.com]
  • Furthermore, healthy vascularized tissue should be interposed in order to support the repair, promote healing, and prevent recurrence of the fistula.[omicsonline.org]
  • Study of the problem revealed the need to strengthen preventive measures at an individual level.[ormvd.ru]
  • Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. ‎ Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. ‎[books.google.es]

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