Iatrogenic vesicorectal fistula

Vesicorectal fistula and urethrorectal fistula are uncommon complications of urological endoscopic surgery. Several cases of iatrogenic urethrorectal fistulas due to urologic procedures have been reported. This is the first report of a case of vesicorectal fistula occurring during endoscopic resection of a bladder lesion. Because of the persistence of the fistula after a conservative follow-up period, a single stage primary repair with omental flap interposition with no colostomy was performed. In the follow up of the patient, no fistula or bladder mass were observed. A single stage primary repair with the interposition of an omental flap is usually a safe and sufficient method of treatment