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Our case demonstrates the rationale for maintaining a broad differential in patients presenting with recurrent urinary tract symptoms or necrotising soft tissue infections to include undiagnosed fistulae.<\/jats:p>","DOI":"10.1136\/bcr-2020-235903","type":"journal-article","created":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T17:11:12Z","timestamp":1604077872000},"page":"e235903","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Unusual cause of Fournier\u2019s gangrene: colorectal-genitourinary tract fistulae status post brachytherapy"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6073-9876","authenticated-orcid":false,"given":"Nabil","family":"Saleem","sequence":"first","affiliation":[{"name":"Department of Urology, Maine Medical Center, Portland, Maine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J","family":"Devan","sequence":"additional","affiliation":[{"name":"Department of Urology, Maine Medical Center, Portland, Maine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel R","family":"Pitts","sequence":"additional","affiliation":[{"name":"Department of Urology, Maine Medical Center, Portland, Maine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham T","family":"VerLee","sequence":"additional","affiliation":[{"name":"Department of Urology, Maine Medical Center, Portland, Maine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,10,30]]},"reference":[{"key":"2025082706563385000_13.10.e235903.1","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1159\/000490108","article-title":"Fournier's gangrene: literature review and clinical cases","volume":"101","author":"Chernyadyev","year":"2018","journal-title":"Urol Int"},{"key":"2025082706563385000_13.10.e235903.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12894-017-0299-y","article-title":"Necrotizing fasciitis after high-dose rate brachytherapy and external beam radiation for prostate cancer: a case report","volume":"17","author":"Yamashita","year":"2017","journal-title":"BMC Urol"},{"key":"2025082706563385000_13.10.e235903.3","first-page":"500","article-title":"Fournier's gangrene: ten-year experience in a medical center in Northern Taiwan","volume":"40","author":"Kuo","year":"2007","journal-title":"J Microbiol Immunol Infect"},{"key":"2025082706563385000_13.10.e235903.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(99)00122-3"},{"key":"2025082706563385000_13.10.e235903.5","doi-asserted-by":"publisher","DOI":"10.1177\/1756287215584740"},{"key":"2025082706563385000_13.10.e235903.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.08.016"},{"key":"2025082706563385000_13.10.e235903.7","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1016\/j.juro.2015.12.095","article-title":"Rectal Ulcers and Rectoprostatic Fistulas after (125)I Low Dose Rate Prostate Brachytherapy","volume":"195","author":"Leong","year":"2016","journal-title":"J Urol"},{"key":"2025082706563385000_13.10.e235903.8","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1007\/s10350-004-0603-2","article-title":"Rectal complications after prostate brachytherapy","volume":"47","author":"Shah","year":"2004","journal-title":"Dis Colon Rectum"},{"key":"2025082706563385000_13.10.e235903.9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1998.00532.x"},{"key":"2025082706563385000_13.10.e235903.10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-226151","article-title":"Rectal adenocarcinoma with rectoprostatic fistula following prostate brachytherapy","volume":"12","author":"Moss","year":"2019","journal-title":"BMJ Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235903","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:56:43Z","timestamp":1756303003000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235903"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":10,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2020,10,30]]},"published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1136\/bcr-2020-235903"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235903","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}