PMC3182766_01
Preoperative oblique cystography shows extravasation of contrast material through the fistula from bladder to the rectum.
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Extravasation of contrast medium through the fistula to the rectum was observed on oblique cystography (Figure 1).
Preoperative cystoscopic evaluation of the resection area showing the rectal lumen following an iatrogenic rectal injury.
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Cystoscopically a 1 cm fistula orifice was disclosed in the left posterior wall of the bladder (Figure 2), but both ureteral orifices were intact.
Postoperative oblique cystography with no extravasation.
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The urethral catheter was removed on postoperative day 14 after normal cystographic findings (Figure 3).
Postoperative cystoscopy with no fistula.
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Postoperative cystoscopy (Figure 4) was performed at the first month and then the patient was followed up for 6 months with the help of symptoms and urine tests.