AccScience Publishing / EJMO / Volume 3 / Issue 2 / DOI: 10.14744/ejmo.2019.37165
CASE REPORT

Unexpected Healing of Urorectal Fistula Following Radical Prostatectomy After Leuprolide Atrigel Injection

Yigit AKIN1 osman köse1 Sacit Nuri Gorgel1 Serkan Özcan1 Yüksel Yılmaz1
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1 Department of Urology, Izmir Katip Celebi University Faculty of Medicine, Izmir, Turkey
EJMO 2019, 3(2), 144–146; https://doi.org/10.14744/ejmo.2019.37165
Submitted: 2 January 2019 | Accepted: 5 February 2019 | Published: 14 March 2019
© 2019 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

The essential treatment of choice for organ confined prostate cancer (PCa) is radical prostatectomy (RP). Complications can occur after RP, even extremely ones. However, surgical intervention is needed to fix most of the complications, some of them rarely may be self-healing. We here presented a RP case which rectal injury occurred during RP. However, rectal injury was operated properly, urorectal fistula occurred in follow-up. After the first administration of leuprolide atrigel 22.5mg was given, colostomy was performed. At the end of 2. administration of leuprolide atrigel 22.5 injection, there was not urorectal fistula. After removing urethral catheter, the patient was also continent.

Keywords
Leuprolide
prostate cancer
prostatectomy
urinary fistula
Conflict of interest
None declared.
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Eurasian Journal of Medicine and Oncology, Electronic ISSN: 2587-196X Print ISSN: 2587-2400, Published by AccScience Publishing