11/21. A scrotal graft technique for the repair of prostatic-cutaneous fistulas.Three patients who had a prostatic urethral fistula into the presacral space and perineal urinary drainage after rectal resection or vascular injury with rectal sloughing were treated successfully by a transperineal, extraurethral scrotal inlay flap.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
12/21. Nonoperative management of iatrogenic prostatorectal fistula.Iatrogenic prostatorectal fistula is a rarely seen urologic complication of transurethral resection of the prostate and stricture dilatation with sounds. In the past, such cases have been managed with colostomy diversion of the fecal stream and suprapubic cystostomy diversion of the urinary stream and in most cases operative closure of the fistula. This case illustrates that a more conservative nonoperative approach can lead to successful closure of such a fistula in selected cases. The management of the case described here utilizes low residue dietary supplements, Foley catheter drainage, and broad-spectrum antibiotics to allow the fistula to heal.- - - - - - - - - - ranking = 1.6keywords = fistula (Clic here for more details about this article) |
13/21. Genitourinary coccidioidomycosis.Symptomatic involvement of the genitourinary tract as a manifestation of disseminated coccidioides immitis infection is uncommon. We report a case of a colovesical fistula secondary to coccidioides immitis infection and review the pertinent medical literature.- - - - - - - - - - ranking = 0.2keywords = fistula (Clic here for more details about this article) |
14/21. Tuberculous rectourethral fistula.A rare case of tuberculous rectourethral fistula is reported. The fistula developed as a sequel of prostatic tuberculosis and was successfully repaired by the method of omental interposition.- - - - - - - - - - ranking = 1.2keywords = fistula (Clic here for more details about this article) |
15/21. Malakoplakia of the prostate causing fatal fistula to rectum. A case report.A fatal case of malakoplakia of the prostate is described. The malakoplakia developed after 20 years of chronic prostatitis caused by E. coli and was not prevented by careful antibiotic treatment. Three years after the histological verification malakoplakia invasion caused fistula to rectum. autopsy revealed no signs of any debilitating diseases.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
16/21. Prostatic and membranous urethrorectal fistulas: a new technique of surgical closure.We report on a quick, safe and simple procedure, the anterior perineal trans-anorectal approach, which was used successfully to treat 2 difficult cases of prostatorectal and membranous urethrorectal fistulas. This method was devised after a review of all techniques to treat these fistulas, which are known to be difficult. Our 2 cases, like others, demonstrate the harmlessness of anterior section of the anal sphincter, provided the sphincter is repaired correctly. This approach should be used in patients with urethroprostatorectal pathological conditions for whom a perineal access is contemplated.- - - - - - - - - - ranking = 1.2keywords = fistula (Clic here for more details about this article) |
17/21. Surgical correction of rectoprostatic fistula.A rectoprostatic fistula is a rare complication of prostatic operations, and the literature on the subject is scanty. Three men were treated for rectoprostatic fistulas representing complications of prostatic surgery. Mason's transsphincteric transrectal operation resulted in prompt, primary healing of the fistula. Subsequent colostomy closure left all 3 patients with normal urinary and fecal control. A systematic three-step sequence of operation is advocated for the treatment of rectoprostatic fistulas. The Mason technique provides excellent exposure and reliable closure of rectourinary fistulas.- - - - - - - - - - ranking = 74.557146568081keywords = urinary fistula, fistula (Clic here for more details about this article) |
18/21. Transvesical approach to utricular cysts.Utricular cyst is an uncommon problem, mainly encountered in intersex conditions and is usually asymptomatic. These lesions have been classified in three main groups following the degree of masculinization by Howard. Three of our patients nevertheless have presented with very severe utricular and urinary infections, one of these having developed a scrotal fistula. Another was incontinent due to intra-utricular trapping. The first patient was operated upon by a perineal approach which we found extremely difficult. The next two patients were operated by a transvesical approach which offered many advantages: excellent exposure, ease of surgery, good reconstruction, and no sequellae.- - - - - - - - - - ranking = 0.2keywords = fistula (Clic here for more details about this article) |
19/21. Single stage repair of rectourinary fistula.The treatment of 2 prostato-rectal fistulas by a single stage York Mason repair and cystostomy is described. We realize that the therapy of rectourinary fistulas should be individualized and for the ill or septic patient the 3-stage treatment including colostomy is safe and conservative. However, for the patient in good condition the 1-stage repair seems to be an effective shortcut.- - - - - - - - - - ranking = 364.9857328404keywords = urinary fistula, fistula (Clic here for more details about this article) |
20/21. A method of repair of recurrent recto-vesico-prostatic fistula following prostatectomy.A recto-vesico-prostatic fistula is a rare complication of prostatectomy. Because of its rarity the literature on the subject is scanty and an individual surgeon's experience in the field is limited. recurrence of such fistulas are common after repair, posing a difficult problem for the surgeon. A method of repair is presented, which is a combination of procedures based on sound surgical principles. This repair also holds a promise of cure for recurrent fistulas.- - - - - - - - - - ranking = 1.4keywords = fistula (Clic here for more details about this article) |
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