eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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3/2015
vol. 10
 
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abstract:
Case report

Endoscopic treatment of a rectovesical fistula following radical prostatectomy by over-the-scope clip (OTSC)

Milos Brodak
,
Josef Kosine
,
Ilja Tachecí
,
Jaroslav Pacovsky

Videosurgery Miniinv 2015; 10 (3): 486–490
Online publish date: 2015/09/14
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The successful management of a rectovesical fistula after radical prostatectomy is difficult. Minimally invasive treatment by over-the-scope clip (OTSC) is a novel method. The authors present results with the use of OTSC. This method was used in 2 patients. The first patient had a rectovesical fistula detected on the fifth day after a prostatectomy. The second patient experienced rectal perforation during prostatectomy and a recurrent fistula after fistulorrhaphy. Both patients had a small fistula located in the vesicourethral anastomosis. Both patients underwent endoscopic OTSC placement. The median follow-up was 26 months. The success rate was 50%. The first patient healed successfully and the second patient had a relapse. The York-Mason procedure was eventually successful. According to our initial experience, the OTSC is suitable for small fistulas detected shortly after a prostatectomy. A more complex fistula, though small, carries a higher recurrence risk.
keywords:

rectovesical fistula, radical prostatectomy, endoscopy, over-the-scope clip

  
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