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Rectourethral Fistulae

  • Chapter
Genitourinary Pain And Inflammation

Part of the book series: Current Clinical Urology ((CCU))

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Summary

Etiologies of rectourethral fistula (RUF) include trauma, inflammatory processes, congenital defects, and prior pelvic surgery. Increasingly, RUF is being diagnosed in men who have received radiation therapy for prostate cancer. The most common presenting symptoms of RUF include passage of urine per rectum, irritative voiding symptoms, pneumaturia, and fecaluria. Spontaneous closure of RUF is uncommon and has not been reported in patients with RUF caused by radiation toxicity. Selection of an appropriate surgical approach is dictated by the clinical situation, life expectancy, pre-treatment urinary and bowel function, and local adjacent tissue damage. This chapter focuses on the diagnosis and surgical management of patients with iatrogenic and radiotherapy-induced RUF.

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Authors
  1. Brian R. Lane MD
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  2. Kenneth W. Angermeier MD
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Editor information

Editors and Affiliations

  1. Glickman Urologic and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA

    Jeannette M. Potts MD

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© 2008 Humana Press

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Lane, B.R., Angermeier, K.W. (2008). Rectourethral Fistulae. In: Potts, J.M. (eds) Genitourinary Pain And Inflammation. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60327-126-4_23

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  • DOI: https://doi.org/10.1007/978-1-60327-126-4_23

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-816-4

  • Online ISBN: 978-1-60327-126-4

  • eBook Packages: MedicineMedicine (R0)

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