Transperineal repair with bulbocavernosus muscle interposition for recto‐urethral fistula. (27th February 2013)

• Record Type: Journal Article
• Authors: Ganio, E.; Martina, S.; Novelli, E.; Sandru, R.; Clerico, G.; Realis Luc, A.; Trompetto, M.
• Is Part Of: Colorectal disease. Volume 15:Number 3(2013)
• Page Start: e138
• Page End: e143
• Publication Date: 2013-02-27
• Subjects: Colon (Anatomy) -- Diseases -- Periodicals; Rectum -- Diseases -- Periodicals; 616.34
• DOI: 10.1111/codi.12091
• Languages: English
• ISSNs: 1462-8910

Abstract

<abstract abstract-type="main" xml:lang="en" id="codi12091-abs-0001"> <title>Abstract</title> <sec id="codi12091-sec-0001" sec-type="section"> <title>Aim</title> <p>The results of repair of recto‐urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft.</p> </sec> <sec id="codi12091-sec-0002" sec-type="section"> <title>Method</title> <p>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.</p> </sec> <sec id="codi12091-sec-0003" sec-type="section"> <title>Results</title> <p>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.</p> </sec> <sec id="codi12091-sec-0004" sec-type="section"> <title>Conclusion</title> <p>This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.</p> </sec> </abstract>