Conservative Management of a Delayed Neovesicocutaneous Fistula | Zendy

Koichi Kodama | Zendy; Yasukazu Takase | Zendy; Isamu Motoi | Zendy

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Conservative Management of a Delayed Neovesicocutaneous Fistula

Author(s) -

Koichi Kodama,

Yasukazu Takase,

Isamu Motoi

Publication year - 2014

Publication title -

case reports in urology

Language(s) - English

Resource type - Journals

eISSN - 2090-696X

pISSN - 2090-6978

DOI - 10.1155/2014/632917

Subject(s) - medicine , fistula , surgery , anastomosis , conservative management , urinary fistula , urinary system , complication , concomitant , indwelling catheter , conservative treatment , broad spectrum , catheter , antibiotic therapy , general surgery , antibiotics , chemistry , microbiology and biotechnology , combinatorial chemistry , biology

A neovesicocutaneous fistula is a rare complication after orthotopic bladder reconstruction, particularly in the late postoperative period. We report the case of a 59-year-old man who had undergone ileal neobladder construction 17 months previously. He presented with urinary retention concomitant with urinary tract infection due to a neovesicourethral anastomotic stricture. After a combination of transurethral catheter drainage and broad-spectrum antibiotic therapy for 3 weeks, the fistulous tract completely closed. Therefore, conservative treatment may be regarded as a valid option for a delayed neovesicocutaneous fistula.

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