Unilateral ureterocutaneous fistula after orthotopic ileal neobladder: a case report and literature review
10.3969/j.issn.1009-8291.2024.05.014
- VernacularTitle:原位膀胱术后10年单侧输尿管皮肤瘘1例报告并文献复习
- Author:
Zhen TU
1
,
2
;
Xuesong YANG
3
;
Xianzhong DENG
3
Author Information
1. Department of Urology, Yuechi County People’s Hospital, Guang’an 638300
2. Institute of Morphology, North Sichuan Medical College, Nanchong 637000
3. Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China
- Publication Type:Journal Article
- Keywords:
bladder cancer;
cystectomy;
orthotopic bladder replacement;
ureterocutaneous fistula;
hydronephrosis
- From:
Journal of Modern Urology
2024;29(5):450-452
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 The main points of diagnosis and treatment of ureterocutaneous fistula after in situ bladder operation were discussed based on clinical data and literature. 【Methods】 This report presents the data of a patient who developed a ureterocutaneous fistula 10 years after an in situ bladder procedure at Yuechi County People’s Hospital. 【Results】 A 77-year-old male underwent laparoscopic cystectomy with orthotopic ileal neobladder for bladder cancer.The case manifested as fluid leakage from the original surgical incision, initially misdiagnosed as abdominal wall sinus.After right nephrectomy due to non-functional kidney, the fistula healed. 【Conclusion】 Ureterocutaneous fistulas are commonly associated with kidney transplantation and postoperative complications of upper urinary tract such as calculi and xanthogranulomatous pyelonephritis.Fistulography can be conclusive for this condition.Prompt identification and repair of urinary tract injuries are crucial.
