Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique. (21st September 2015)

• Record Type: Journal Article
• Authors: Raup, Valary T.; Eswara, Jairam R.; Marshall, Stephen D.; Brandes, Steven B.
• Other Names: Goel Apul Academic Editor.
• Is Part Of: Case reports in urology. Volume 2015(2015)
• Publication Date: 2015-09-21
• Subjects: Urology -- Periodicals; Urology -- Case studies -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urologic Diseases; Genitourinary organs -- Diseases; Urology; Periodicals; Case studies; Periodicals; 616.6005
• DOI: 10.1155/2015/836454
• Languages: English
• ISSNs: 2090-696X

Abstract

Abstract : Rectourinary fistulae and urinary-cutaneous fistulae are a rare yet devastating complication. Current options for tissue interposition include rectus, gracilis, or gluteal muscle, omentum, or intestine for use in coloanal pull-through procedures. In elderly patients, testicular interposition flaps may be an excellent tissue option to use when vitalized tissue is necessary to supplement fistula repair. Elderly patients frequently have increased spermatic cord length, potentially offering a longer flap reach than use of a muscle flap. Additionally, mobilizing one of the testicles and developing it through the external inguinal ring may be a less morbid and less costly procedure than harvesting and tunneling a muscle flap. Longer follow-up and further studies are needed to determine the outcomes of this novel technique.