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Korean J Urol Oncol > Volume 13(2); 2015 > Article
The Korean Journal of Urological Oncology 2015;13(2): 101-104.
Very Late Onset of Radiation-induced Complicated Vesicocutaneous Fistula
Jeong Hee Hong
Department of Urology, Dankook University College of Medicine, Cheonan, Korea
Published online: August 30, 2015.
ABSTRACT
Vesicocutaneous fistula(VCF) secondary to radiation therapy is a rare event. There are difficulties in establishing the early diagnosis and choosing the proper management option. We present a very unusual case of postradiotherapy vesicocutaneous fistula which developed more than 30 years later. Temporary urinary diversion was performed because of poor performance status and anatomical condition. However, it failed to achieve spontaneous closure of VCF. It is important to recognize that late onset of radiation induced VCF could develop even after a substantial period of time has lapsed. In addition, conservative treatment appears to be unsuccessful in patient with complicated VCF. Therefore, it must be counselled carefully after a making synthetic judgment based on different individual situation. (Korean J Urol Oncol 2015;13:101-104)
Key Words: Radiation; Cutaneous fistula; Urinary diversion
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