Abstract
A rectovesical fistula (RVF) is an uncommon complication of urooncologic surgery. Although several RVFs have been reported, our case is the first reported RVF in the literature that iatrogenically occurred after transurethral resection of the bladder. A single-stage primary repair with omental flap interposition without a colostomy was successfully performed because of the persistence of the fistula during followup. After 6 months of followup, no fistula or bladder mass was detected.
Highlights
A rectovesical fistula (RVF) is usually seen secondary to diverticulae, inflammatory bowel diseases [1], trauma, perirectal abscesses, iatrogenic injury, malignancy, radiotherapy, or chemotherapy [2, 3]. rectovesical fistulae have been reported after extirpative or ablative procedures of the prostate for both benign and malign prostatic diseases [4], no case of RVF after transurethral resection of the bladder (TURB) had been previously reported
To the best of our knowledge, this is the first case of RVF after TURB in the literature, which was managed with separate closure of three layers without a colostomy
The definitive diagnosis is clarified by visualizing the fistula tract and orifices by cystography and an endoscopic evaluation of the bladder and rectum
Summary
A rectovesical fistula (RVF) is an uncommon complication of urooncologic surgery. Several RVFs have been reported, our case is the first reported RVF in the literature that iatrogenically occurred after transurethral resection of the bladder. A singlestage primary repair with omental flap interposition without a colostomy was successfully performed because of the persistence of the fistula during followup. After 6 months of followup, no fistula or bladder mass was detected
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