PTU - Polskie Towarzystwo Urologiczne
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RECTAL INJURY DURING RADICAL RETROPUBIC PROSTATECTOMY
Article published in Urologia Polska 1998/51/2.

authors

Grzegorz Herlinger, Jan Szymanowski
Oddział Urologii Szpitala Bielańskiego w Warszawie
Ordynator: dr med. J. Szymanowski

keywords

prostate cancer radical retropubic prostatectomy rectum rectal injury

summary

Objective. Evaluation of rectal injury during radical retropubic prostatec-
tomy.
Material and method. During december 1987-februar 1998 in 81 patients
radical retropubic prostatectomy was performed. Patients age 44-77 years,
mean 66. In 3 patients (3.7%) during operation rectal injury occurred. In all
3 patients prostate cancer was diagnosed after TURP. In 2 patients prostate
carcinoma was in pT3c stage, in 1 in pT2a. In 1 patient rectal perforation was
sutured immediately after injury, in 2 after prostate removal. In 1 patient
temporary transversal colostomy was performed, which was closed after
3 months.
Results. In 1 patient vesicorectal fistula occurred. After 14 days of bladder
drainage fistula closed itself. In 2 remaining patients injury healed without
complications.
Conclusions. Rectal perforation is unfre±uent complications after RRP.
Simple suturing is a prefered method in treatment of this complication.

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