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Urorectal fistulae following the treatment of prostate cancer.

Authors
  • Mundy, Anthony R
  • Andrich, Daniela E
Type
Published Article
Journal
British Journal of Urology
Publisher
Wiley (Blackwell Publishing)
Publication Date
Apr 01, 2011
Volume
107
Issue
8
Pages
1298–1303
Identifiers
DOI: 10.1111/j.1464-410X.2010.09686.x
PMID: 20883482
Source
Medline
License
Unknown

Abstract

• URF of any degree of complexity can be managed without the need for a transanorectal sphincter-splitting approach or a covering colostomy and without the need for an interposition flap when the circumstances are appropriate and the surgeon is sufficiently experienced. URF with cavitation and in the post-irradiation group are an exception and do require an interposition flap. • The role of salvage radical prostatectomy in patients with a URF who still have a prostate, needs to be defined. • We suggest that cavitation, BNC and extensive ischaemia due to the serial application of external energy sources confer 'complexity'. Post-surgical URF are simple except for those with cavitation or a BNC. Most post-irradiation URF are complex even in the absence of cavitation or a BNC.

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