Penile necrosis requiring penectomy complicating recto-urethral fistula post prostate cancer external beam radiation and brachytherapy

Authors

  • John Kinahan Vancouver Island Health Authority
  • Howard Pai
  • Mildred Martens
  • Jason Gray
  • Darren Biberdorf
  • Alex Mihailovic
  • Iain McAuley

DOI:

https://doi.org/10.5489/cuaj.1112

Keywords:

prostate cancer, prostate brachytherapy, I-125 radioisotopes, external beam radiotherapy, recto-urethral fistula, complications

Abstract

Radiation therapy is a well-recognized treatment for unfavourable risk localized prostate cancer. Radiation induced recto-urethral fistulae are known rare complications particularly from brachytherapy. We report a case of a recto-urethral fistula 7 years post-external beam radiation and I-125 brachytherapy, which was complicated by a severe polymicrobial soft tissue infection. This infection required penectomy and pelvic exenteration with diverting colostomy, Indiana pouch urinary diversion and gracilis myocutaneuos flap closure of the perineum.

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Published

2014-01-14

How to Cite

Kinahan, J., Pai, H., Martens, M., Gray, J., Biberdorf, D., Mihailovic, A., & McAuley, I. (2014). Penile necrosis requiring penectomy complicating recto-urethral fistula post prostate cancer external beam radiation and brachytherapy. Canadian Urological Association Journal, 8(1-2), e57–9. https://doi.org/10.5489/cuaj.1112

Issue

Vol. 8 No. 1-2 (2014): CUAJ January

Section

Case Report

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