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

Autor:	Kuperus JM; Department of Urology, Spectrum Health Medical Group, 4069 Lake Drive, Suite 313, Grand Rapids, MI, 49546, USA., Kim DG; Department of Colorectal Surgery, Spectrum Health Medical Group, 4100 Lake Dr SE, Suite 205, Grand Rapids, MI, 49546, USA., Shah T; Department of Pathology, Michigan Pathology Specialists PC, 35 Michigan St NE, Suite 6330, Grand Rapids, MI, 49503, USA., Ghareeb G; Department of Urology, Spectrum Health Medical Group, 4069 Lake Drive, Suite 313, Grand Rapids, MI, 49546, USA., Lane BR; Department of Urology, Spectrum Health Medical Group, 4069 Lake Drive, Suite 313, Grand Rapids, MI, 49546, USA.; Department of Surgery, Michigan State University College of Human Medicine, 25 Michigan St NE, Grand Rapids, MI, 49503, USA.
Jazyk:	angličtina
Zdroj:	Urology case reports [Urol Case Rep] 2020 Dec 01; Vol. 35, pp. 101516. Date of Electronic Publication: 2020 Dec 01 (Print Publication: 2021).
DOI:	10.1016/j.eucr.2020.101516
Abstrakt:	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. Competing Interests: The authors have no conflicts of interest to declare. (© 2020 The Authors. Published by Elsevier Inc.)
Databáze:	MEDLINE
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