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Transperineal repair of rectourethral fistula: surgical technique and a case report.
J Med Assoc Thai. 2009 Feb; 92(2):296-9.JM

Abstract

A 60-year old Thai male diagnosed as iatrogenic rectourethral fistula. Preoperative investigation with intravenous pyelogram revealed connection between urethra and rectum. Colonoscopy also revealed fistula opening at mid-rectum. He underwent surgery via transperineal approach. Intraoperative fistula localization was performed using Methylene blue injection via foley catheter. The fistula tract was identified and divided exposing blue-staining tract. Rectal opening and urethral opening were repaired Fecal and urthral diversion were performed Postoperative period was uneventful. The final pathologic report of fistula tract was fibrosis. The perineal and rectal wounds were healed without complication. The suprapubic cystostomy catheter was removed at the end of the second month together with the colostomy closure.

Authors+Show Affiliations

Suwanthanma W
Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Viseshsindh W
No affiliation info available
Euanorasetr C
No affiliation info available
Supsamutchai C
No affiliation info available
Promtong C
No affiliation info available

MeSH

HumansMaleMiddle AgedRectal FistulaUrethral DiseasesUrinary Fistula

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19253809

Citation

Suwanthanma, Weerapat, et al. "Transperineal Repair of Rectourethral Fistula: Surgical Technique and a Case Report." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 92, no. 2, 2009, pp. 296-9.
Suwanthanma W, Viseshsindh W, Euanorasetr C, et al. Transperineal repair of rectourethral fistula: surgical technique and a case report. J Med Assoc Thai. 2009;92(2):296-9.
Suwanthanma, W., Viseshsindh, W., Euanorasetr, C., Supsamutchai, C., & Promtong, C. (2009). Transperineal repair of rectourethral fistula: surgical technique and a case report. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 92(2), 296-9.
Suwanthanma W, et al. Transperineal Repair of Rectourethral Fistula: Surgical Technique and a Case Report. J Med Assoc Thai. 2009;92(2):296-9. PubMed PMID: 19253809.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Transperineal repair of rectourethral fistula: surgical technique and a case report. AU - Suwanthanma,Weerapat, AU - Viseshsindh,Wit, AU - Euanorasetr,Chakrapan, AU - Supsamutchai,Chairat, AU - Promtong,Chalila, PY - 2009/3/4/entrez PY - 2009/3/4/pubmed PY - 2009/4/1/medline SP - 296 EP - 9 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 92 IS - 2 N2 - A 60-year old Thai male diagnosed as iatrogenic rectourethral fistula. Preoperative investigation with intravenous pyelogram revealed connection between urethra and rectum. Colonoscopy also revealed fistula opening at mid-rectum. He underwent surgery via transperineal approach. Intraoperative fistula localization was performed using Methylene blue injection via foley catheter. The fistula tract was identified and divided exposing blue-staining tract. Rectal opening and urethral opening were repaired Fecal and urthral diversion were performed Postoperative period was uneventful. The final pathologic report of fistula tract was fibrosis. The perineal and rectal wounds were healed without complication. The suprapubic cystostomy catheter was removed at the end of the second month together with the colostomy closure. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/19253809/Transperineal_repair_of_rectourethral_fistula:_surgical_technique_and_a_case_report_ L2 - https://medlineplus.gov/urethraldisorders.html DB - PRIME DP - Unbound Medicine ER -