Literature DB >> 18483799

[Urethral fistula due to Crohn's disease: case report of successful conservative management].

C Schwab1, D Meyer, F H Hetzer, J Borovicka, H-P Schmid, D S Engeler.   

Abstract

We report a case of a recto-urethral fistula in Crohn's disease. In our case, suprapubic cystostomy, ciprofloxacin, metronidazole, and azathioprine led to complete remission. Recto-urethral fistulas due to Crohn's disease are very uncommon. Pneumaturia, faecaluria, urinary tract infection, dysuria, and urethral discharge are the most common complaints. After complete diagnostics, immunosuppressive therapy in complicated Crohn's disease is of increasing importance. It is recommended to continue treatment after healing to prevent further complications.

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Year:  2008        PMID： 18483799     DOI： 10.1007/s00120-008-1765-7

Source DB:  PubMed          Journal:  Urologe A        ISSN： 0340-2592            Impact factor:   0.639


  8 in total

1.  Long-term effectiveness of azathioprine in IBD beyond 4 years: a European multicenter study in 1176 patients.

Authors:  Martin H Holtmann; Frank Krummenauer; Christina Claas; Kristina Kremeyer; Dirk Lorenz; Olivia Rainer; Iris Vogel; Ulrich Böcker; Stephan Böhm; Carsten Büning; Rainer Duchmann; Guido Gerken; Hans Herfarth; Norbert Lügering; Wolfgang Kruis; Max Reinshagen; Jan Schmidt; Andreas Stallmach; Jürgen Stein; Andreas Sturm; Peter R Galle; Daan W Hommes; Geert D'Haens; Paul Rutgeerts; Markus F Neurath
Journal:  Dig Dis Sci       Date:  2006-08-22       Impact factor: 3.199

2.  Urinary complications of Crohn's disease.

Authors:  J Kyle
Journal:  World J Surg       Date:  1980       Impact factor: 3.352

3.  [Treatment of recto-urethral fistulas in Crohn's disease].

Authors:  C Aiello; G A Santoro; V Cerbone; C de Werra; M Gentile; L Bucci
Journal:  Minerva Chir       Date:  1997-09       Impact factor: 1.000

4.  Fistulas to the urinary system in Crohn's disease: clinical features and outcomes.

Authors:  Craig A Solem; Edward V Loftus; William J Tremaine; John H Pemberton; Bruce G Wolff; William J Sandborn
Journal:  Am J Gastroenterol       Date:  2002-09       Impact factor: 10.864

Review 5.  Management of rectourethral fistulas in Crohn's disease.

Authors:  G A Santoro; L Bucci; F A Frizelle
Journal:  Int J Colorectal Dis       Date:  1995       Impact factor: 2.571

6.  Crohn's disease involving the penis.

Authors:  G Slaney; S Muller; J Clay; A H Sumathipala; P Hillenbrand; H Thompson
Journal:  Gut       Date:  1986-03       Impact factor: 23.059

7.  Rectourethroperineal fistula in Crohn's disease.

Authors:  J S Stamler; J J Bauer; H D Janowitz
Journal:  Am J Gastroenterol       Date:  1985-02       Impact factor: 10.864

8.  Infliximab maintenance therapy for fistulizing Crohn's disease.

Authors:  Bruce E Sands; Frank H Anderson; Charles N Bernstein; William Y Chey; Brian G Feagan; Richard N Fedorak; Michael A Kamm; Joshua R Korzenik; Bret A Lashner; Jane E Onken; Daniel Rachmilewitz; Paul Rutgeerts; Gary Wild; Douglas C Wolf; Paul A Marsters; Suzanne B Travers; Marion A Blank; Sander J van Deventer
Journal:  N Engl J Med       Date:  2004-02-26       Impact factor: 91.245
  8 in total

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