Abstract
Case Study This case study involves a 63-year-old man with a chief complaint of urinary incontinence and pneumaturia. He was treated 2 years ago for prostate cancer with external beam radiation, and most recently with a salvage prostatectomy for local persistent prostate cancer. His symptoms began several weeks after the prostatectomy. He has no other chronic medical problems or past surgical history. His last screening colonoscopy demonstrated diverticulosis, and he has never been treated for diverticulitis. The patient reports frequent and copious passage of fl uid per rectum. He denies fecal incontinence. Figure 1 displays a representative image from a cystogram. What is the diagnosis? What is the next step in the management of this patient? If a surgical intervention is offered, when should it be done? What specifi c techniques should be used? How and when can the urinary incontinence be addressed?
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