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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2025, Vol. 14 ›› Issue (03): 281-283. doi: 10.3877/cma.j.issn.2095-3224.2025.03.011

• Case Reports • Previous Articles     Next Articles

A case of delayed urethral fistula following abdominoperineal resection (Miles) for rectal cancer

Changhe Xia1, Xuhua Hu2, Xiaohong Zheng3, Fang Liu4, Yaxuan Wang5, Guiying Wang2,6,()   

  1. 1. Department of Anorectal Surgery,the First Hospital of Qinhuangdao,Qinhuangdao 066000,China
    2. The Second Department of Surgery,the Fourth Hospital of Hebei Medical University,Shijiazhuang 050000,China
    3. Department of Medical Administration,the First Hospital of Qinhuangdao,Qinhuangdao 066000,China
    4. Physical Examination Center,the First Hospital of Qinhuangdao,Qinhuangdao 066000,China
    5. Department of Urology,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China
    6. Department of General Surgery,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China
  • Received:2025-01-17 Online:2025-06-25 Published:2025-06-26
  • Contact: Guiying Wang

Abstract:

Delayed urethral fistula after combined abdominoperineal resection (Miles) of rectal cancer is a rare and serious complication. This paper reports a case of delayed urethral fistula in a cT3N2M0 rectal cancer patient with preoperative neoadjuvant radiotherapy and chemotherapy combined with Miles. The evolution and outcome of delayed urethral fistula after Miles were discussed. The aim is to provide reference for the prevention and treatment of delayed urethral fistula after Miles surgery.

Key words: Rectal neoplasms, Miles, Urethral fistula, Radiotherapy, Diabetes

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