Transperineal repair with bulbocavernosus muscle interposition for recto-urethral fistula.

Colorectal Dis

Colorectal Eporediensis Centre, Gruppo Policlinico di Monza, Divisione di Chirurgia Colorettale, Clinica Santa Rita, Vercelli, Italy.

Published: March 2013

Aim: The results of repair of recto-urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft.

Method: Prospectively collected data were reviewed on 11 patients with RUF operated on between 2003 and 2011. Of these, six were treated by a bulbocavernosus flap. Two RUF had occurred after prostatectomy, three after prostatectomy and radiotherapy and one after perineal trauma; all had a urinary diversion.

Results: Closure of the fistula was achieved in all patients and was maintained for the duration of the period of follow up (mean ± SD = 43.5 ± 24.7 months; range, 8-80 months) There were no complications.

Conclusion: This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.

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Source
http://dx.doi.org/10.1111/codi.12091DOI Listing

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