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タイトル: | 恥骨後式前立腺全摘除術後に発症した直腸尿道瘻の1例 |
その他のタイトル: | Rectourethral Fistula after Radical Retropubic Prostatectomy : A Case Report |
著者: | 竹澤, 健太郎 垣本, 健一 吉田, 栄宏 新井, 康之 小野, 豊 目黒, 則男 宇佐美, 道之 大植, 雅之 |
著者名の別形: | Takezawa, Kentaro Kakimoto, Kenichi Yoshida, Takahiro Arai, Yasuyuki Ono, Yutaka Meguro, Norio Usami, Michiyuki Ohue, Masayuki |
キーワード: | Rectourethral fistula Radical prostatectomy |
発行日: | Dec-2009 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 55 |
号: | 12 |
開始ページ: | 773 |
終了ページ: | 775 |
抄録: | The patient, a 56-year-old man, had surgery for anal fistula at the age of 28. In August 2007, he underwent a radical retropubic prostatectomy (RRP) for prostate cancer. Rectal injury was not recognized during the operation. However, on the 8th postoperative day, fecaluria appeared, and rectourethral fistula was diagnosed. We attempted conservative therapy including diverting colostomy and continued drainage using a urethral catheter. Subsequently, the fistula closed spontaneously 3 months after RRP. Eight months after RRP, we performed a transanal repair of rectal mucosa based on the rectal wall advancement flap procedure. The postoperative course was uneventful, and the colostomy was closed in July 2008. By April 2009, he had normal voiding and full anal continence without fistula recurrence. |
著作権等: | 許諾条件により本文は2011-01-01に公開 |
URI: | http://hdl.handle.net/2433/89684 |
PubMed ID: | 20048564 |
出現コレクション: | Vol.55 No.12 |
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