Polytetrafluoroethylene and autologous fat endoscopic injection for a prostato-perineal fistula

Purpose: Prostato-perineal fistula is a rare abnormality. We present a simp le endoscopic technique to manage this complicated problem. Materials and Methods: We report on a 34-year-old man with a prostato-perin eal fistula after multiple surgeries for imperforate anus. The patient unde rwent an endoscopic injection of polytetranuoroethylene and autologous fat in the fistulous tract. Results: Two endoscopic procedures with the injection of polytetrafluoroeth ylene and autologous fatty tissue around the prostatic urethral orifice wer e necessary to occlude the fistula. Conclusions: The endoscopic injection of polytetrafluoroethylene and autolo gous fat was an easy, well tolerated and long lasting solution in this pati ent.