PMC9891095_01
Endoscopic rectourethral fistula orifice discovery localized on the rectum and anterior anal canal
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FIG1
We found a fistulous orifice in the transition of the rectum and anterior anal canal with urethral communication (Figure 1).
Colonoscopy to evaluate the rectourethral fistula orifice recurrence
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FIG2
On a return appointment on July 14, 2022, we requested a new colonoscopy (Figure 2) to assess the possibility of further surgical intervention.
Endoscopic approach of fistula closure using a Padlock Clip. (a) Endoscopic identification of the fistula location. (b) Endoscopic suctioning of the fistula and a Padlock Clip applied at the fistula site.
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FIG3
We did this procedure on September 23, 2022 (Figure 3), and the patient recovered with no complications in the postoperative period.