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Repair of transperineal recto‐urethral fistula using a fibrin sealant haemostatic patch
Author(s) -
Giuliani G.,
Guerra F.,
Coletta D.,
La Torre M.,
Franco G.,
Leonardo C.,
Infantino A.,
La Torre F.
Publication year - 2016
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.13518
Subject(s) - medicine , surgery , prostatectomy , fibrin , sealant , fistula , catheter , complication , urethroplasty , urethra , prostate , chemistry , organic chemistry , cancer , immunology
Aim Recto‐urethral fistula (RUF) is a rare complication of radical prostatectomy. We report a transperineal approach using a fibrin sealant haemostatic patch. Method Five consecutive patients who developed RUF following radical prostatectomy had a direct transperineal repair with a haemostatic patch (TachoSil®) and were assessed at a median follow‐up of 35.5 (21–45) months. Results There were no early postoperative complications. The average length of hospital stay was 5 (4–7) days. One patient developed recurrence 4 weeks after removal of the urethral catheter. Following healing in four patients the stoma was reversed at a median interval of 3 months, and 9.5 (7–10) months following the prostatic surgery. In the four patients with successful closure there was no case of recurrence or anorectal or urinary dysfunction at a median follow‐up of 35.5 (21–45) months. Conclusion Direct transperineal repair of RUF reinforced with a fibrin haemostatic patch of TachoSil is safe and effective.