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

Ganio, E; Martina, S; Novelli, E; Sandru, R; Clerico, G; Realis Luc, A; Trompetto, M · Colorectal Dis · 2013

case_series · Level IV

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Abstract

The results of repair of recto-urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft. 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. 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. This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.

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