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RESIDENT’S CORNER
Rectourethral fstula: a rare complication after HoLEP
Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Address correspondence to Dr. Ali Syed, Department of Urology, Thomas Jefferson University, 1025 Walnut Street, College Building, Suite 1112, Philadelphia, PA19107 USA
Canadian Journal of Urology 2018, 25(6), 9617-9619.
Abstract
We report a rare complication of rectourethral fistula formation 6 weeks after a 70-year-old man underwent an uneventful HoLEP procedure. Cystourethrogram confrmed the diagnosis and the patient was managed conservatively with chronic indwelling catheter placement for 6 weeks. After this, his symptoms resolved completely and a repeat cystourethrogram showed marked resolution of the fstulous tract. The cause of the fstula formation is believed to be due to a delayed thermal or infectious reaction. Post-procedure follow up is necessary in all patients to monitor for complications that donotarise immediately after surgery.Keywords
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