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Techniques in Coloproctology

, Volume 14, Issue 4, pp 341–343 | Cite as

Treatment of post-prostatectomy rectourethral fistula with fibrin sealant (Quixil™) injection: a novel application

  • V. Verriello
  • M. Altomare
  • G. Masiello
  • C. Curatolo
  • G. Balacco
  • D. F. AltomareEmail author
Technical Note

Abstract

Rectourethral fistulas in adults is a rare but potentially devastating postoperative condition requiring complex and demanding surgery. Fibrin glue treatment has been used with some success in anal and rectovaginal fistulas, and in the case we present here this indication has been extended to a postoperative rectourethral fistula following radical prostatectomy. For the first time, to our knowledge, a fibrin sealant (Quixil) was injected into the fistula tract, and a rectal mucosal flap was used to close the internal opening. The fistula healed in few weeks, and the patient is symptom free after 1 year of follow-up.

Keywords

Postoperative rectourethral fistula Fibrin sealant Biological glue 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • V. Verriello
    • 1
  • M. Altomare
    • 1
  • G. Masiello
    • 1
  • C. Curatolo
    • 1
  • G. Balacco
    • 1
  • D. F. Altomare
    • 2
    Email author
  1. 1.Urological DepartmentDon Tonino Bello HospitalMolfettaItaly
  2. 2.Department of Emergency Care and Organ Transplantation, General Surgery and Liver Transplantation UnitsUniversity Aldo MoroBariItaly

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