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Iatrogenic Rectal Injury During Radical Prostatectomy: Is Colostomy Inevitable End?

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Date
2016-05-01
Author
Topaktas, Ramazan
Onol, Sinasi Yavuz
Ersoz, CEVPER
Polat, Emre Can
Erdem, Mehmet Remzi
Advisor
Type
Article
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Abstract
Aim: Radical prostatectomy (RP) is the gold standard treatment method for localized prostate cancer, because of its high oncological success. Iatrogenic rectal injury (IRI) during RP is rarely seen, but it may causes serious complications because of the close anatomic relationship between the prostate and rectum. Aim is to present our series about management of IRI without colostomy. Material and Method: Between June 1999 and June 2013, radical retropubic prostatectomy (RRP) was performed to 372 patients by a single surgeon. 10 cases (% 2,6) were complicated by a rectal injury during RRP. Instant rectal closure was performed in 3 layers without a diverting colostomy, at the time of surgery. Omental vascular flap was placed between rectum and vesicourethral anastomosis. Results: The clinical stages of IRI cases were T1c, T2a and T2c in 2, 3 and 5 patients, respectively. Their preoperative Gleason scores were 6, 7 and 8 in 3, 5 and 2 patient, respectively. None of the 10 had undergone previous prostatic or rectal surgery, or received preoperative radiotherapy or hormonal therapy. Discussion: Instant diagnosis and rectal wall closures by three layers are essential for successful repair. Our technique seems as a safe, minimal invasive and highly effective option for the management of IRI.
Subject
Topaktas R., Erdem M. R. , Polat E. C. , Ersoz C., Onol S. Y. , -Iatrogenic Rectal Injury During Radical Prostatectomy: Is Colostomy Inevitable End?-, JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.7, sa.3, ss.351-354, 2016
URI
http://hdl.handle.net/20.500.12645/28489
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BEZMIALEM VAKIF UNIVERSITY

About us |Policies | Library | Contact us | Send Feedback | Sitemap | Admin

Bezmialem Vakıf Üniversitesi, Adnan Menderes Bulvarı Vatan Caddesi 34093 Fatih, İstanbul / TURKEY
Copyright © Bezmialem Vakıf Üniversitesi

Creative Commons Lisansı
Bezmialem Institutional Repository, Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

OpenAccess@BVU

Support by  UNIREPOS