Conservative Management of a Delayed Neovesicocutaneous Fistula

الملخص EN

A neovesicocutaneous fistula is a rare complication after orthotopic bladder reconstruction, particularly in the late postoperative period.

We report the case of a 59-year-old man who had undergone ileal neobladder construction 17 months previously.

He presented with urinary retention concomitant with urinary tract infection due to a neovesicourethral anastomotic stricture.

After a combination of transurethral catheter drainage and broad-spectrum antibiotic therapy for 3 weeks, the fistulous tract completely closed.

Therefore, conservative treatment may be regarded as a valid option for a delayed neovesicocutaneous fistula.