Rectourethral Fistula
Conditions
Keywords
rectourethral fistula, Gracilis flap, prostate cancer
Brief summary
Prostate cancer is the first cancer amongst men with more than 50000 cases per year in France. Surgical, radiation, frost, or ultrasound induced rectourethral fistula is a rare complication (\<1%) of localized prostatic cancer treatment but hard to manage. Different types of treatment exist: conservatory, trans-sphinteric (York-Masson), transanal, perineal, with or without muscle flap interposition. Gracilis flap interposition for rectourethral fistula management is a promising technique but few cases are described and functional results are scarce. The aim of this study is to present surgical and functional outcomes of rectourethral fistulas surgery with gracilis flap interposition after treatment of localized prostate cancer.
Interventions
PROCEDUREGracilis flap interposition for rectouretral fistula management
Gracilis flap interposition is a surgery for rectouretral fistula
Sponsors
Hospices Civils de Lyon
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male over 18 years old * Treated for a localized prostatic cancer (Prostatectomy, cryotherapy, HIFU, radiotherapy) * Affected with a treatment induced Rectourethral fistula
Exclusion criteria
* Rectourethral fistula caused by other pelvic diseases (gynecological or digestif cancer, inflammatory bowel disease, other urogenital issues) * Rectourethral fistula treated by cysto-prostatectomy with urinary tract derivation * Patient under guardianship * Non comprehension of written or spoken French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urinary continence | 3 months after surgery | Urinary Symptom Profile form (from 0 to 39), a higher score indicating a worse outcome. |
| Fecal continence | 3 months after surgery | St. Marks form (from 0 to 26), a higher score indicating a worse outcome. |
| Global satisfaction of the surgery | 3 months after surgery | Patients will give a number to measure their global satisfaction of the surgery (From 1 to 10), a higher score indicating a better outcome. |
| Lower extremity functional | 3 months after surgery | No validated form exist for surgical consequences after gracilis retrieval. The form used in this study is specific (Difficulty scale for walking, kneeling, crossing the legs ; limitation of movements since the operation (yes/no and which one) (From 0 to 20), a higher score indicating a worse outcome. |
| Surgical scarring | 3 months after surgery | The Patient and Observer Scar Assessment Scale (From 7 to 70), a higher score indicating a worse outcome. |
Countries
France
Outcome results
None listed