Rectourethral fistula following SpaceOAR gel placement for prostate cancer radiotherapy: A rare complication

After undergoing a SpaceOAR® gel placement prior to planned radiotherapy for Gleason 4 + 4 prostate cancer, a 70-year-old male experienced severe right buttock pain and urine passing from his rectum. A colonoscopy and follow-up pelvic MRI demonstrated a large rectourethral fistula. The fistula was t...

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Detalles Bibliográficos
Autores principales: Kuperus, Joshua M., Kim, Donald G., Shah, Tanmay, Ghareeb, George, Lane, Brian R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7726656/
https://www.ncbi.nlm.nih.gov/pubmed/33318943
http://dx.doi.org/10.1016/j.eucr.2020.101516
Descripción
Sumario:After undergoing a SpaceOAR® gel placement prior to planned radiotherapy for Gleason 4 + 4 prostate cancer, a 70-year-old male experienced severe right buttock pain and urine passing from his rectum. A colonoscopy and follow-up pelvic MRI demonstrated a large rectourethral fistula. The fistula was treated surgically with a robot-assisted radical prostatectomy, primary rectal repair, omental flap and diverting loop ileostomy. Pathology demonstrated extensive treatment effect with no residual prostate cancer. This is the first case study of a rectourethral fistula attributable to SpaceOAR® gel placement.

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