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Article: Rectourethral fistula after radical prostatectomy: Transperineal repair in jack-knife position

TitleRectourethral fistula after radical prostatectomy: Transperineal repair in jack-knife position
Authors
KeywordsProne jack-knife position
Radical prostatectomy
Rectourethral fistula
Transperineal approach
Issue Date2010
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASH
Citation
Surgical Practice, 2010, v. 14 n. 3, p. 102-104 How to Cite?
AbstractBackground: Rectourethral fistula is a rare complication of radical prostatectomy. Risk factors include history of pelvic irradiation, cryotherapy, intraoperative rectal injury or transurethral resection of the prostate. Diagnosis of rectourethral fistula requires a high index of suspicion, and complete work-up with endoscopy and imaging studies. The majority of patients require operative intervention, with approaches ranging from transabdominal, transrectal, transanal, and transperineal routes. Method: We report two patients with rectourethral fistula after radical prostatectomy. The first patient was a 59-year-old man who underwent an uncomplicated laparoscopic radical prostatectomy for early prostate cancer in another hospital. The second patient was a 64-year-old man who had local recurrence after cryotherapy for prostate cancer. He underwent salvage radical prostatectomy in a private hospital, which was complicated by intraoperative rectal injury. Results: In both patients, the rectourethral fistulae were successfully repaired with a transperineal approach in the prone jack-knife position. Conclusion: We found that the transperineal approach in the prone jack-knife position offered excellent exposure, allowed versatile surgical manoeuvres and produced successful repair with good continence outcomes. © 2010 The Authors. Journal compilation © 2010 College of Surgeons of Hong Kong.
Persistent Identifierhttp://hdl.handle.net/10722/139753
ISSN
2013 Impact Factor: 0.172
2015 SCImago Journal Rankings: 0.121
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHo, Ben_HK
dc.contributor.authorHo, KLen_HK
dc.contributor.authorTsu, JHLen_HK
dc.contributor.authorNg, RWMen_HK
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorTam, PCen_HK
dc.date.accessioned2011-09-23T05:55:15Z-
dc.date.available2011-09-23T05:55:15Z-
dc.date.issued2010en_HK
dc.identifier.citationSurgical Practice, 2010, v. 14 n. 3, p. 102-104en_HK
dc.identifier.issn1744-1625en_HK
dc.identifier.urihttp://hdl.handle.net/10722/139753-
dc.description.abstractBackground: Rectourethral fistula is a rare complication of radical prostatectomy. Risk factors include history of pelvic irradiation, cryotherapy, intraoperative rectal injury or transurethral resection of the prostate. Diagnosis of rectourethral fistula requires a high index of suspicion, and complete work-up with endoscopy and imaging studies. The majority of patients require operative intervention, with approaches ranging from transabdominal, transrectal, transanal, and transperineal routes. Method: We report two patients with rectourethral fistula after radical prostatectomy. The first patient was a 59-year-old man who underwent an uncomplicated laparoscopic radical prostatectomy for early prostate cancer in another hospital. The second patient was a 64-year-old man who had local recurrence after cryotherapy for prostate cancer. He underwent salvage radical prostatectomy in a private hospital, which was complicated by intraoperative rectal injury. Results: In both patients, the rectourethral fistulae were successfully repaired with a transperineal approach in the prone jack-knife position. Conclusion: We found that the transperineal approach in the prone jack-knife position offered excellent exposure, allowed versatile surgical manoeuvres and produced successful repair with good continence outcomes. © 2010 The Authors. Journal compilation © 2010 College of Surgeons of Hong Kong.en_HK
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ASHen_HK
dc.relation.ispartofSurgical Practiceen_HK
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.subjectProne jack-knife positionen_HK
dc.subjectRadical prostatectomyen_HK
dc.subjectRectourethral fistulaen_HK
dc.subjectTransperineal approachen_HK
dc.titleRectourethral fistula after radical prostatectomy: Transperineal repair in jack-knife positionen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1744-1625&volume=14&issue=3&spage=102&epage=104&date=2010&atitle=Rectourethral+fistula+after+radical+prostatecomy:+transperineal+repair+in+jack-knife+position-
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1744-1633.2010.00508.xen_HK
dc.identifier.scopuseid_2-s2.0-77955152264en_HK
dc.identifier.hkuros193027en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77955152264&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume14en_HK
dc.identifier.issue3en_HK
dc.identifier.spage102en_HK
dc.identifier.epage104en_HK
dc.identifier.isiWOS:000280195700006-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridHo, B=36195552500en_HK
dc.identifier.scopusauthoridHo, KL=35763728100en_HK
dc.identifier.scopusauthoridTsu, JHL=6507717202en_HK
dc.identifier.scopusauthoridNg, RWM=7102153861en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridTam, PC=7202539419en_HK
dc.identifier.citeulike7582638-

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