Video Section

International Braz J Urol
Official Journal of the Brazilian Society of Urology

Vol. 39 (4): 602-603, July - August, 2013
Endoscopic use of cyanoacrylate glue in the treatment of urethral fistula
André Ramos Sorgi Macedo, Silvio Henrique Maia de Almeida, Marco Aurélio de Freitas Rodrigues, Luís Gustavo Toledo, Rafael Agostinho Maioli
Department of Surgery, Division of Urology, State University of Londrina, Londrina, PR, Brazil
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 peri¬neal 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.

Key Words:
Int Braz J Urol. 2013; 39 (Video #9): 602-3