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Surgical and Functional Outcomes of Rectourethral Fistulas Surgery With Gracilis Flap Interposition After Localized Prostatic Cancer Treatment. (GRA-FUR)

Civil Hospices of Lyon logo

Civil Hospices of Lyon

Status

Completed

Conditions

Rectourethral Fistula

Treatments

Procedure: Gracilis flap interposition for rectouretral fistula management

Study type

Observational

Funder types

Other

Identifiers

NCT04654715
69HCL20_0673

Details and patient eligibility

About

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.

Enrollment

17 patients

Sex

Male

Ages

18+ years old

Volunteers

No Healthy Volunteers

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

Trial design

17 participants in 1 patient group

Localized prostate cancer treatment induced rectourethral fistula
Description:
Every patient over 18 years old operated for closure of a rectourethral fistula with gracilis flap interposition after localized prostatic cancer treatment (Radiotherapy, surgery, cryotherapy and HIFU).
Treatment:
Procedure: Gracilis flap interposition for rectouretral fistula management

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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