[A rare case of complex pyelocutaneous fistula following microwave ablation for recurrent renal cell carcinoma successfully managed with radical nephrectomy]
Abstract
A complex pyelocutaneous fistula developed after microwave ablation for recurrent clear cell renal carcinoma following partial nephrectomy. The fistula persisted despite prolonged drainage, antibiotics, ureteral stenting, and other conservative measures. Definitive management required laparoscopic radical nephrectomy with complete excision of the fistulous tract and involved psoas tissue. Histopathology showed chronic inflammation without residual malignancy. This case supports early consideration of radical nephrectomy for refractory, anatomically complex pyelocutaneous fistulas.
Fields of Study & Subjects
Infectious Disease Case Reports and Treatments
Renal cell carcinoma treatment
Kidney Stones and Urolithiasis Treatments
Publication details
- Journal / source
- Urology Case Reports
- Volume
- 65
- Pages
- 103344–103344
- Publication date
- 10 January 2026
- Language
- EN