Turkish Journal of Urology
GENERAL UROLOGY - Surgical Technique
Repair of a rectovesical fistula following laparoscopic radical prostatectomy with Martius fat pad flap interposition: a proposal of a new technique

Repair of a rectovesical fistula following laparoscopic radical prostatectomy with Martius fat pad flap interposition: a proposal of a new technique

1.

Department of Urology, ASST Fatebenefratelli-Sacco, Luigi Sacco University Hospital, Milan, Italy

2.

Department of Urology, IEO European Institute of Oncology, IRCCS, Milan, Italy

Turk J Urol 2021; 47: 81-85
DOI: 10.5152/tud.2020.20356
Read: 76 Downloads: 16 Published: 26 October 2020

Rectovesical fistula (RVF) is defined as an abnormal communication between the rectum and the urinary bladder, most commonly after an iatrogenic injury during pelvic surgery. Patients with RVF may have various clinical presentations, ranging from fecaluria, pneumaturia, to urine leakage through the anus. The quality of life for patients with this pathology is adversely affected owing to the associated psychological burden. Surgery is the preferred treatment given the low success rates reported for conservative or minimally invasive approaches. Herein, we present a case of a 65-year-old man with RVF after radical prostatectomy successfully treated by a transperineal approach using a modified Martius procedure.

Cite this article as: Incarbone GP, Palmisano F, Lorusso V, Granata AM, Romanò ALL, Marchesotti F, et al. Repair of a rectovesical fistula following laparoscopic radical prostatectomy with Martius fat pad flap interposition: a proposal of a new technique. Turk J Urol 2021; 47(1): 81-5.

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