What is the treatment for urethral fistula due to pressure injuries (pressure ulcers)?

Updated: Mar 26, 2020
  • Author: Christian N Kirman, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

Pressure injuries can also erode into the urethra (see the images below). Treatment of this complication (ie, urethral fistula) involves urinary diversion. Pressure injury reconstruction can be considered once the fistula has healed.

 

Patient has urethral fistula within his pressure u Patient has urethral fistula within his pressure ulcer. When he performs Valsalva maneuver, urine leaks through this opening.

 

Close-up view in patient who has urethral fistula Close-up view in patient who has urethral fistula within his pressure ulcer. When he performs Valsalva maneuver, urine leaks through this opening.

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