published the largest retrospective analysis about the clinical manifestations of infections caused by Kluyvera and that included gastroenteritis (diarrhea and fever), acute pancreatitis, bacteremia, wound infection, urinary tract infection (UTI), pyelonephritis, acute cholecystitis, peritonitis, mediastinitis, infected urethrorectal
fistula, and soft tissue infection .
The arrow indicates a trace of the urethrorectal
The genetic male with absent penis and urethrorectal
communication: Experience with 5 patients.
fistula occurred in only one patient in a retreated gland with no monitoring of the rectal wall.
In two procedures, fistula openings were visualized during endoscopy: one located in the membranous urethra (urethrorectal
) and the other in the proximal bulbous urethra (urethrocutaneous).
Urethrorectal fistulas are uncommonly reported in veterinary medicine with only 13 cases reported in dogs (CRUSE et al., 2009).
Although spontaneous healing has been observed in posttraumatic urethrorectal fistulas in human medicine, surgical intervention was necessary in most reported cases.
Due to these radiographic findings a urethrorectal fistula was diagnosed (Figure 1C and D).
Spontaneous healing of urethrorectal fistulas is rare, even after cutaneous fecal and urinary diversion (deviation of the colon and ureteres to skin).
(1,2) A misdiagnosis can have serious repercussions, including urethrorectal
fistula formation from rupture involving surrounding structures, sepsis, and, possibly, death.
* The common complications (medians) associated with HIFU included impotence (44% among previously potent patients), urinary tract infections (7.5% of patients), urethral stricture (12.3%), stenosis (7.8%), urinary incontinence (8.1%), urinary retention (5.3%), chronic perineal pain (3.4%) and urethrorectal
fistula with concurrent urolithiasis in a dog.