Polytetrafluoroethylene and autologous fat endoscopic injection for a prostato-perineal fistula.

Palou, J; Caparrós-Sariol, J; Salvador-Bayarri, J; Villavicencio-Mavrich, H; Vicente-Rodriguez, J · J Urol · 2001

case_report · Level V

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Abstract

Prostato-perineal fistula is a rare abnormality. We present a simple endoscopic technique to manage this complicated problem. We report on a 34-year-old man with a prostato-perineal fistula after multiple surgeries for imperforate anus. The patient underwent an endoscopic injection of polytetrafluoroethylene and autologous fat in the fistulous tract. Two endoscopic procedures with the injection of polytetrafluoroethylene and autologous fatty tissue around the prostatic urethral orifice were necessary to occlude the fistula. The endoscopic injection of polytetrafluoroethylene and autologous fat was an easy, well tolerated and long lasting solution in this patient.

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