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

Publication

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

Journal Paper/Review - Oct 1, 2008

Schwab C, Meyer Daniel, Hetzer Franc, Borovicka Jan, Schmid Hans-Peter, Engeler Daniel

Citation

Schwab C, Meyer D, Hetzer F, Borovicka J, Schmid H, Engeler D. [Urethral fistula due to Crohn's disease: case report of successful conservative management]. Der Urologe. Ausg. A 2008; 47:1350-2.

Type

Journal Paper/Review (English)

Journal

Der Urologe. Ausg. A 2008; 47

Publication Date

Oct 1, 2008

Issn Print

0340-2592

Pages

1350-2

Brief description/objective

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.