Conservative Management of a Delayed Neovesicocutaneous Fistula

A neovesicocutaneous fistula is a rare complication after orthotopic bladder reconstruction, particularly in the late postoperative period. We report the case of a 59-year-old man who had undergone ileal neobladder construction 17 months previously. He presented with urinary retention concomitant wi...

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Detalles Bibliográficos
Autores principales: Kodama, Koichi, Takase, Yasukazu, Motoi, Isamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100388/
https://www.ncbi.nlm.nih.gov/pubmed/25061533
http://dx.doi.org/10.1155/2014/632917
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author Kodama, Koichi
Takase, Yasukazu
Motoi, Isamu
author_facet Kodama, Koichi
Takase, Yasukazu
Motoi, Isamu
author_sort Kodama, Koichi
collection PubMed
description A neovesicocutaneous fistula is a rare complication after orthotopic bladder reconstruction, particularly in the late postoperative period. We report the case of a 59-year-old man who had undergone ileal neobladder construction 17 months previously. He presented with urinary retention concomitant with urinary tract infection due to a neovesicourethral anastomotic stricture. After a combination of transurethral catheter drainage and broad-spectrum antibiotic therapy for 3 weeks, the fistulous tract completely closed. Therefore, conservative treatment may be regarded as a valid option for a delayed neovesicocutaneous fistula.
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spelling pubmed-41003882014-07-24 Conservative Management of a Delayed Neovesicocutaneous Fistula Kodama, Koichi Takase, Yasukazu Motoi, Isamu Case Rep Urol Case Report A neovesicocutaneous fistula is a rare complication after orthotopic bladder reconstruction, particularly in the late postoperative period. We report the case of a 59-year-old man who had undergone ileal neobladder construction 17 months previously. He presented with urinary retention concomitant with urinary tract infection due to a neovesicourethral anastomotic stricture. After a combination of transurethral catheter drainage and broad-spectrum antibiotic therapy for 3 weeks, the fistulous tract completely closed. Therefore, conservative treatment may be regarded as a valid option for a delayed neovesicocutaneous fistula. Hindawi Publishing Corporation 2014 2014-06-29 /pmc/articles/PMC4100388/ /pubmed/25061533 http://dx.doi.org/10.1155/2014/632917 Text en Copyright © 2014 Koichi Kodama et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kodama, Koichi
Takase, Yasukazu
Motoi, Isamu
Conservative Management of a Delayed Neovesicocutaneous Fistula
title Conservative Management of a Delayed Neovesicocutaneous Fistula
title_full Conservative Management of a Delayed Neovesicocutaneous Fistula
title_fullStr Conservative Management of a Delayed Neovesicocutaneous Fistula
title_full_unstemmed Conservative Management of a Delayed Neovesicocutaneous Fistula
title_short Conservative Management of a Delayed Neovesicocutaneous Fistula
title_sort conservative management of a delayed neovesicocutaneous fistula
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100388/
https://www.ncbi.nlm.nih.gov/pubmed/25061533
http://dx.doi.org/10.1155/2014/632917
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