Adverse Features of Rectourethral Fistula Requiring Extirpative Surgery and Permanent Dual Diversion: Our Experience and Recommendations.
Francisco E MartinsJoão FelicioTiago Ribeiro OliveiraNatália MartinsVítor OliveiraArtur PalmasPublished in: Journal of clinical medicine (2021)
Radiation/energy-ablation therapies are associated with a more severe RUF and more complex reconstructions. Most of these patients require an abdominoperineal approach and flap interposition. The failure of an RUF repair with the need for permanent dual diversion, eventually combined with extirpative surgery, is higher after previous radiation/energy-ablation treatment. Therefore, permanent dual diversion as the primary treatment should always be included in the decision-making process as reconstruction may be futile in specific settings.
Keyphrases
- minimally invasive
- decision making
- robot assisted
- coronary artery bypass
- newly diagnosed
- ejection fraction
- emergency department
- prognostic factors
- computed tomography
- rectal cancer
- early onset
- combination therapy
- radiation therapy
- radiation induced
- clinical practice
- magnetic resonance
- acute coronary syndrome
- atrial fibrillation
- percutaneous coronary intervention
- smoking cessation
- soft tissue
- adverse drug