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

Abstract

Cite as: Can Urol Assoc J 2014;8(1-2):e57-9. http://dx.doi.org/10.5489/cuaj.1112 Published online January 14, 2014. AbstractRadiation 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 postexternal 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.