Urethro-cavernosal-spongiosal fistula after intralesional mitomycin C for recurrent urethral stricture disease

Intralesional mitomycin C after direct visual internal urethrotomy for recurrent urethral stricture disease in patients suboptimal for open urethroplasty is an established option. We report a case of urethro-cavernosal-spongiosal fistula after intralesional mitomycin C into an area of previous dorsa...

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Bibliographic Details
Published in:Urology case reports 2020-11, Vol.33, p.101281, Article 101281
Main Authors: Rehder, Peter, Pedrini, Marco, Jelisejevas, Lukas Andrius, Gulacsi, Alexandra, Horninger, Wolfgang, Stuehmeier, Jannik
Format: Article
Language:English
Subjects:
Complication
Endourology
Mitomycin C
Urethral stricture
Urethro-cavernosal fistula
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Summary:Intralesional mitomycin C after direct visual internal urethrotomy for recurrent urethral stricture disease in patients suboptimal for open urethroplasty is an established option. We report a case of urethro-cavernosal-spongiosal fistula after intralesional mitomycin C into an area of previous dorsal inlay urethroplasty. The patient presented with pus draining from the urethral meatus ten days after treatment. Sterile abscesses developed within the corporal and spongious bodies, draining freely into the urethra. Complete spontaneous healing followed short-term transurethral catheterization and antibiotic prophylaxis.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2020.101281