PMID- 16353863
OWN - NLM
STAT- MEDLINE
DCOM- 20060216
LR  - 20191109
IS  - 1479-666X (Print)
IS  - 1479-666X (Linking)
VI  - 3
IP  - 6
DP  - 2005 Dec
TI  - Transanal endoscopic microsurgical repair of iatrogenic recto-urethral fistula.
PG  - 416-7
AB  - BACKGROUND: Recto-urethral fistula formation following radical prostatectomy is 
      an uncommon but potentially devastating event. Traditional surgery for such 
      fistulae is technically demanding, jeopardizes continence and usually 
      necessitates a diverting colostomy. We present the case of an iatrogenic fistula 
      treated by a transanal endoscopic microsurgical approach, without recourse to a 
      stoma. METHOD: A 71-year-old man had recently undergone a radical prostatectomy, 
      complicated by significant intra-operative haemorrhage. He subsequently developed 
      a recto-urethral fistula, confirmed clinically and endoscopically. Due to his 
      bleeding diathesis, he was considered for, and underwent, a transanal endoscopic 
      microsurgical (TEMS) repair. CONCLUSION: TEMS is a safe and reliable 
      minimally-invasive surgical technique for the treatment of this difficult 
      condition.
FAU - Quinlan, M
AU  - Quinlan M
AD  - Department of Colorectal Surgery, The Adelaide & Meath Hospital, Incorporating 
      the National Children's Hospital, Ireland.
FAU - Cahill, R
AU  - Cahill R
FAU - Keane, F
AU  - Keane F
FAU - Grainger, R
AU  - Grainger R
FAU - Butler, M
AU  - Butler M
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Scotland
TA  - Surgeon
JT  - The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
JID - 101168329
SB  - IM
MH  - Aged
MH  - Anal Canal
MH  - Humans
MH  - Male
MH  - Microsurgery
MH  - Proctoscopy/*methods
MH  - Prostatectomy/*adverse effects
MH  - Rectal Fistula/etiology/*surgery
MH  - Urethral Diseases/etiology/*surgery
MH  - Urinary Fistula/etiology/*surgery
EDAT- 2005/12/16 09:00
MHDA- 2006/02/17 09:00
CRDT- 2005/12/16 09:00
PHST- 2005/12/16 09:00 [pubmed]
PHST- 2006/02/17 09:00 [medline]
PHST- 2005/12/16 09:00 [entrez]
AID - 10.1016/s1479-666x(05)80053-8 [doi]
PST - ppublish
SO  - Surgeon. 2005 Dec;3(6):416-7. doi: 10.1016/s1479-666x(05)80053-8.