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Endoscopic vacuum therapy for leaky cavities: is it possible?
Rev Esp Enferm Dig
November 2024
Digestive Diseases, Hospital General de Granollers.
A 71-year-old male patient with a history of bladder neoplasia underwent Bricker-type surgery, during which an iatrogenic rectal injury occurred. During surgery, an unsuccessful suture attempt was made, leading to the appearance of fecaluria after 48 hours. A computed tomography scan revealed a small continuity defect in the rectal wall, accompanied by a 25-mm adjacent collection.
View Article and Find Full Text PDFA case of recto-urethral fistula following MRI-guided transurethral ablation (TULSA) of the prostate.
Urol Case Rep
September 2024
Departments of Urology (X.M. and D.N.C) and Radiology (D.N.C), University of Texas Southwestern Medical Center, Dallas, TX, USA.
We describe the first case of a recto-urethral fistula following an MRI-guided transurethral prostate ablation procedure (TULSA). The patient experienced urine per rectum six weeks after the procedure. A voiding cystourethrogram confirmed the presence of a recto-urethral fistula, which was managed with a urethral catheter and a suprapubic tube.
View Article and Find Full Text PDFRethinking Fistula Preservation in Anorectal Malformation Surgery: A Histopathological Perspective.
Eur J Pediatr Surg
September 2024
Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
Objective: This study aims to assess the histopathological characteristics of the fistulous tissue in males with anorectal malformation (ARM) to determine its suitability for use in constructing a neoanus.
Methods: This prospective observational study included male ARM patients with recto-urethral fistula. All other types were excluded.
Management of long-term functional sequelae of pelvic fracture urethral injury.
Fr J Urol
November 2024
Department of Urology, University of Washington, School of Medicine and Harborview Injury Prevention and Research Center, Seattle, WA, United States. Electronic address:
Pelvic fracture (PF) is a rare emergency, which led to pelvic fracture urethral injury (PFUI) in 1.6% to 25% of cases. Urethral injury assessment requires a thorough analysis of the initial injury history and imaging that combine cystourethrography acutely, repeat urethral imaging as well as adjunctive use of MRI in the follow-up period.
View Article and Find Full Text PDFLong-term (> 10 years) bowel function of anorectal malformations: a retrospective single-center study.
Pediatr Surg Int
May 2024
Department of General Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, No.56 Nanlishi st, Xicheng District, Beijing, 100045, China.
Purpose: To describe the long-term bowel function of anorectal malformation (ARM) patients and explore the potential influence factors.
Methods: ARM patients with follow-up data > 10 years were included. Cases of cloaca, Currarino syndrome, and VACTERL syndrome were excluded.
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