PURPOSE: The aim of this video is to demonstrate an endoscopic and minimally invasive repair of an urethrocutaneous fistula with cyanoacrylate glue.
MATERIALS AND METHODS: A 56 year-old-man with post-infectious urethral stricture and recurrent perineal abscess formation due to urethral fistulas.
RESULTS: The operative time was 60 minutes, no major complications were observed perioperatively and postoperatively. At a follow-up time of 6 months the patient had no evidence of recurrent fistula and abscess formation.
CONCLUSIONS: The endoscopic use of cyanoacrylate glue represents a safe and minimally invasive approach that might be offered as a first line option for the treatment of urinary fistulas in selected patients, especially those with narrow and long tracts.
Written by:
Macedo AR1, Almeida SH, Rodrigues MA, Toledo LG, Maioli RA Are you the author?
1Department of Surgery, Division of Urology, State University of Londrina, Londrina, PR, Brazil
Reference: Int Braz J Urol. 2013 Jul-Aug;39(4):602-3
doi: 10.1590/S1677-5538.IBJU.2013.04.22
PubMed Abstract
PMID: 24054392
UroToday.com Endourology Section