Abstract
Modern LDR brachytherapy has drastically reduced rectal toxicity and decreased the occurrence of rectourethral fistulas to <0.5% of patients. Therefore, symptoms of late-onset sequelae are often ignored initially. These fistulas cause severe patient morbidity and require interdisciplinary treatment. We report on the occurrence and management of a rectourethral fistula which occurred 4 years after (125)I seed implantation.
Copyright 2009 S. Karger AG, Basel.
MeSH terms
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Adenocarcinoma / pathology
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Adenocarcinoma / radiotherapy*
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Aged
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Brachytherapy / adverse effects*
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Colostomy
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Humans
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Iodine Radioisotopes / adverse effects*
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Male
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Prostatectomy
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Prostatic Neoplasms / pathology
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Prostatic Neoplasms / radiotherapy*
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Radiation Injuries / diagnosis
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Radiation Injuries / etiology*
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Radiation Injuries / surgery
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Rectal Fistula / diagnosis
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Rectal Fistula / etiology*
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Rectal Fistula / surgery
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Treatment Outcome
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Urethral Diseases / diagnosis
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Urethral Diseases / etiology*
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Urethral Diseases / surgery
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Urinary Fistula / diagnosis
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Urinary Fistula / etiology*
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Urinary Fistula / surgery