Three distinct urethral fistulae 35 years after pelvic radiation

Nephrourol Mon. 2014 Feb 22;6(2):e14197. doi: 10.5812/numonthly.14197. eCollection 2014 Mar.

Abstract

Introduction: While the development of fistulae is a well-known complication of radiotherapy, such fistulae can often be challenging to manage.

Case presentation: We describe the case of a 37 year old male who developed in succession a urethrocutaneous fistula to the thigh, a rectourethral fistula and a peritoneo-urethral fistula 35 years after radiotherapy for pediatric pelvic rhabdomyosarcoma. These complications were managed successfully after multiple surgical procedures.

Discussion: We subsequently discuss the different approaches currently employed for the management of radiation induced urinary fistulas and describe the rationale behind our approach towards their surgical management.

Keywords: Radiation Injuries; Rhabdomyosarcoma; Surgical Flaps; Urinary Diversion; Urinary Fistula.

Publication types

  • Case Reports