Endoscopic use of cyanoacrylate glue in the treatment of urethral fistula

• Main Authors: Andre Ramos Sorgi Macedo, Silvio Henrique Maia de Almeida, Marco Aurelio de Freitas Rodrigues, Luis Gustavo Toledo, Rafael Agostinho Maioli
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Urologia 2013-07-01
• Series: International Brazilian Journal of Urology
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382013000400602&lng=en&tlng=en

Purpose The aim of this video is to demonstrate an endoscopic and minimally invasive repair of an urethrocutaneous fistula with cyanoacrylate glue. Materials and Methods: A 56 year-old-man with post-infectious urethral stricture and recurrent perineal abscess formation due to urethral fistulas. Results The operative time was 60 minutes, no major complications were observed perioperatively and postoperatively. At a follow-up time of 6 months the patient had no evidence of recurrent fistula and abscess formation. CONCLUSIONS The endoscopic use of cyanoacrylate glue represents a safe and minimally invasive approach that might be offered as a first line option for the treatment of urinary fistulas in selected patients, especially those with narrow and long tracts.