Unilateral ureterocutaneous fistula after orthotopic ileal neobladder:a case report and literature review

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 ; Xianzhong DENG
Author Information

1. 四川省岳池县人民医院泌尿外科,四川广安 638300
2. 四川省川北医学院形态研究所,四川南充 637000
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.