{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:24:05Z","timestamp":1790947445483,"version":"4.1.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T00:00:00Z","timestamp":1719446400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T00:00:00Z","timestamp":1719446400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002345","name":"Eberhard Karls Universit\u00e4t T\u00fcbingen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002345","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urol Nephrol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Acquired prostatic fistula (PF) was defined as a connection between the prostatic urethra and the rectum, symphysis, peritoneum, or ending freely in the periprostatic area. This study aims to report our experience with PF presentation, diagnosis, and treatment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>From January 2014 to February 2024, we retrospectively analyzed a prospectively maintained database from two urologic university hospitals to identify men with acquired PF. Diagnosis was based on post-intervention symptoms, including pneumaturia, fecaluria, rectal urine leakage, periprostatic inflammation or abscess, completed by radiological assessment using retrograde urethrogram, CT, or MRI. Standard cystoscopy and\/or rectosigmoidoscopy assessed bladder and rectal integrity. Patients with post-prostatectomy fistulas were excluded.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Thirteen patients with a mean age of 66.54\u2009\u00b1\u20097.40\u00a0years were identified. The most commonly presenting symptoms were fecaluria\/pneumaturia 54%, rectal urine leakage 31%, and recurrent urinary tract infection 31%. The mean time from the initial treatment to fistula development was 22.28\u2009\u00b1\u200920.53\u00a0months (0.1\u201359\u00a0months), and from diagnosis to repair was 3.5\u2009\u00b1\u20093\u00a0months (1\u201312\u00a0months). Cumulative closure rates (success rate) post-first and second attempts were 77% (10 patients) and 92% (12 patients), respectively; one patient declined definitive surgery, maintaining a persistent fistula after bladder drainage.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Clinical suspicion and detailed diagnosis are essential for formulating a tailored treatment plan for prostatic fistulas, which are successfully manageable in many patients. Complex cases benefit from a multidisciplinary approach, with individualized therapy based on etiology, severity, and recurrence of PF, facilitating effective closure.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11255-024-04092-8","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T16:19:44Z","timestamp":1719505184000},"page":"3751-3757","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Management of acquired prostatic fistulas in adults"],"prefix":"10.1007","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3473-4446","authenticated-orcid":false,"given":"Radion","family":"Garaz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian","family":"Mirvald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bastian","family":"Amend","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian","family":"Surcel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Tsaur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,27]]},"reference":[{"key":"4092_CR1","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1097\/MOU.0000000000000263","volume":"26","author":"N Singla","year":"2016","unstructured":"Singla N, Morey AF (2016) Rectourethral fistula reconstruction in elderly patients. Curr Opin Urol 26:171\u2013176","journal-title":"Curr Opin Urol"},{"key":"4092_CR2","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1007\/s00120-020-01167-z","volume":"59","author":"CM Rosenbaum","year":"2020","unstructured":"Rosenbaum CM, Vetterlein MW, Fisch M (2020) Fistula surgery. Der Urologeloge 59:489\u2013498","journal-title":"Der Urologeloge"},{"key":"4092_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2011\/629105","volume":"2011","author":"H Kitamura","year":"2011","unstructured":"Kitamura H, Tsukamoto T (2011) Rectourinary fistula after radical prostatectomy: review of the literature for incidence, etiology, and management. 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