Management of Rectourethral Fistula following a Gunshot Injury with Gracilis Flap: A Case Report
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2017, Vol 4, Issue 1
Abstract
Rectourethral fistulas are uncommon and can be classified as congenital or acquired. We present a case of rectourethral fistula following a shotgun injury and describe a surgical method of closing poorly healing defects between the urethra and rectum by means of a muscular flap of the gracilis muscle (GM). A 20-year-old man underwent laparotomy and colostomy for gunshot trauma. In postoperative first week, the patient began complaining of urine coming from the rectum. Retrograde urethrography revealed a fistulous opening connecting the prostatic urethra and the rectum. The transperineal approach with a GM flap interposition is currently the most commonly used method and one of the effective procedures for treating complex fistulae. Morbidity after a GM flap interposition is known to be low. GM transposition is a useful and effective method for the treatment of rectourethral fistula.
Authors and Affiliations
Mutlu Değer, Fatih Gökalp, Eyüphan Gencel, Erkan Demir, Zühtü Tansuğ
Keywords
Related Articles
- EP ID EP243606
- DOI 10.4274/jus.483
- Views 112
- Downloads 0
Re: Long-Term Outcome of Low Scrotal Approach Orchiopexy without Ligation of the Processus Vaginalis
.
Re: Should Asymptomatic Bacteriuria be Systematically Treated in Kidney Transplant Recipients? Results from a Randomized Controlled Trial
.
Giant Size Xanthogranulomatous Pyelonephritis: A Case Report
According to the literature, differential diagnosis of xanthogranulomatous pyelonephritis (XGP) can mostly not be recognized preoperatively and is frequently confused with kidney tumor. A 46-year-old female patient was a...
Anterior Urethral Valve and Anterior Urethral Diverticulum with an Intradiverticular Stone: A Case Report and a Literature Review
Anterior urethral valve (AUV) is a rare but well-defined congenital anomaly. AUV can be isolated or occur in association with anterior urethral diverticulum (AUD). Here, we present the first pediatric case report of AUV...
Sperm Fine-needle Aspiration (FNA) Mapping After Failed Microdissection Testicular Sperm Extraction (TESE): Location and Patterns of Found Sperm
.