Management of postoperative intestinal fistula in urology surgery
10.3760/cma.j.cn112330-20250207-00045
- VernacularTitle:泌尿外科术后肠瘘的处理经验
- Author:
Baolin ZHANG
1
;
Xiangfeng KONG
1
;
Hailin REN
1
Author Information
1. 青海大学附属医院泌尿外科，西宁 810001
- Publication Type:Journal Article
- Keywords:
Urology surgery;
Intestinal leakage;
Complication;
Treatment
- From:
Chinese Journal of Urology
2025;46(10):778-780
- CountryChina
- Language:Chinese
-
Abstract:
This article analyzes the data of 9 patients who developed intestinal fistula after urological surgery. The intestinal fistula involved the duodenum，ileum，colon，or rectum，and the surgery covered kidney or ureteral surgery，total cystectomy，ileal bladder replacement surgery，and radical prostatectomy. Two special cases involved sigmoid colon and rectal injury after intestinal lavage. Among them，5 cases were cured by abdominal negative pressure flushing treatment，2 cases were cured by surgical fistula repairing，and 2 cases died due to cardiovascular complications. Most patients with intestinal fistula can be cured by sufficient draining out the abdominal cavity. In cases of poor drainage，colostomy or enteric fistula repair can be conducted.
