Interposition of gracilis muscle for rectourethral fistula repair: case report

Rectourethral fistula is a rare disease with a difficult surgical treatment. The etiology of rectourethral fistula is iatrogenic, secondary to prostate surgery, pelvic radiotherapy and a rare complication of rectal surgery. Surgical treatment options for rectourethral fistula are diverse. Interposit...

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Bibliographic Details
Published inCirugia y cirujanos Vol. 79; no. 4; p. 343
Main Authors González-Contreras, Quintín Héctor, Bahena-Aponte, Jesús Alberto, Salinas-Aragón, Enrique, Jiménez-González, Alejandra, González-Longoria, Gilberto
Format Journal Article
LanguageEnglish
Published Mexico 01.07.2011
Subjects
Humans
Male
Middle Aged
Muscle, Skeletal - transplantation
Rectal Fistula - surgery
Thigh
Urethral Diseases - surgery
Urinary Fistula - surgery
Urologic Surgical Procedures - methods
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Summary:Rectourethral fistula is a rare disease with a difficult surgical treatment. The etiology of rectourethral fistula is iatrogenic, secondary to prostate surgery, pelvic radiotherapy and a rare complication of rectal surgery. Surgical treatment options for rectourethral fistula are diverse. Interposition of gracilis muscle has a curative index of 100% with close surveillance, as reported by Nyham. We present a case of a 58-year-old male with iatrogenic rectourethral fistula secondary to radical prostatectomy and who was treated with interposition of the gracilis muscle. Eight weeks after surgery and with colostomy closed, no evidence of recurrence was detected. Interposition of the gracilis muscle requires a multidisciplinary approach and demonstrates good shortterm results.
ISSN:2444-054X