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A case of an iatrogenic vesicourethral fistula following an anastomotic urethroplasty with progressive perineal approach for a posterior urethral distraction defect

PARTHO MUKHERJEE

Abstract


A 54 year old male sustained a pelvic fracture injury due to a railway accident. An anastomotic urethroplasty with progressive perineal approach was carried out elsewhere after eight months. He presented to our centre with a  per-urethral catheter in place and peri-catheter leak of urine. A diagnosis of an iatrogenic vesicourethral fistula was made. A false passage connecting the bladder to the bulbar urethra following an anastomotic urethroplasty with progressive    perineal approach can occur if adequate care is not taken intra-operatively. Identifying the proximal urethra prior to  anastomosis by flexible cystoscopy can avoid this                     complication.

 


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References


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