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.
references
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