Endoscopic Injection of BioGlue for the Treatment of a Ureterocolic Fistula After Radical Cystectomy
<b>Background/Objectives:</b> An 80-year-old man was admitted to our department after a salvage radical cystectomy for actinic cystitis due to radiotherapy for prostate cancer. He presented with a two-month history of feculent debris in the right stoma and deteriorated general conditions...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-04-01
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| Series: | Surgical Techniques Development |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2038-9582/14/2/11 |
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| Summary: | <b>Background/Objectives:</b> An 80-year-old man was admitted to our department after a salvage radical cystectomy for actinic cystitis due to radiotherapy for prostate cancer. He presented with a two-month history of feculent debris in the right stoma and deteriorated general conditions, after a long past medical history of recurrent complicated urinary infections. <b>Methods:</b> Computer tomography (CT) of the abdomen revealed a ureterocolic fistula along the right ureteral pelvic tract. A right percutaneous nephrostomy tube was placed. Due to multiple previous surgeries, several lines of intravenous antibiotic therapies and the overall condition of the patient, a conservative management was preferred. <b>Results:</b> A bovine serum albumin-glutaraldehyde (BioGlue<sup>®</sup>) adhesive was inoculated into the right ureter through the stoma to close the fistula. After 24 months, the patient remained asymptomatic with negative follow-up imaging. <b>Conclusions:</b> Given the uniqueness of the management of a ureterocolic fistula, this case offers insight into conservative treatment in frail patients not suitable for major surgery. |
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| ISSN: | 2038-9582 |