Publication: Transperineal repair of rectourethral fistula: Surgical technique and a case report
Issued Date
2009-02-01
Resource Type
ISSN
01252208
01252208
01252208
Other identifier(s)
2-s2.0-61449145491
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.92, No.2 (2009), 296-299
Suggested Citation
Weerapat Suwanthanma, Wit Viseshsindh, Chakrapan Euanorasetr, Chairat Supsamutchai, Chalila Promtong Transperineal repair of rectourethral fistula: Surgical technique and a case report. Journal of the Medical Association of Thailand. Vol.92, No.2 (2009), 296-299. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/28195
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Title
Transperineal repair of rectourethral fistula: Surgical technique and a case report
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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.