Conservative Management of a Delayed Neovesicocutaneous Fistula

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 wi...

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Main Authors: Koichi Kodama, Yasukazu Takase, Isamu Motoi
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2014/632917
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author Koichi Kodama
Yasukazu Takase
Isamu Motoi
author_facet Koichi Kodama
Yasukazu Takase
Isamu Motoi
author_sort Koichi Kodama
collection DOAJ
description 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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institution Kabale University
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spelling doaj-art-4eeacb43b5964ee8a41907f226baec152025-02-03T01:01:05ZengWileyCase Reports in Urology2090-696X2090-69782014-01-01201410.1155/2014/632917632917Conservative Management of a Delayed Neovesicocutaneous FistulaKoichi Kodama0Yasukazu Takase1Isamu Motoi2Department of Urology, Toyama City Hospital, 2-1 Imaizumi-hokubucho, Toyama, Toyama 939-8511, JapanDepartment of Urology, Toyama City Hospital, 2-1 Imaizumi-hokubucho, Toyama, Toyama 939-8511, JapanDepartment of Urology, Toyama City Hospital, 2-1 Imaizumi-hokubucho, Toyama, Toyama 939-8511, JapanA 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.http://dx.doi.org/10.1155/2014/632917
spellingShingle Koichi Kodama
Yasukazu Takase
Isamu Motoi
Conservative Management of a Delayed Neovesicocutaneous Fistula
Case Reports in Urology
title Conservative Management of a Delayed Neovesicocutaneous Fistula
title_full Conservative Management of a Delayed Neovesicocutaneous Fistula
title_fullStr Conservative Management of a Delayed Neovesicocutaneous Fistula
title_full_unstemmed Conservative Management of a Delayed Neovesicocutaneous Fistula
title_short Conservative Management of a Delayed Neovesicocutaneous Fistula
title_sort conservative management of a delayed neovesicocutaneous fistula
url http://dx.doi.org/10.1155/2014/632917
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