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Transperineal repair with bulbocavernosus muscle interposition for recto‐urethral fistula
Author(s) -
Ganio E.,
Martina S.,
Novelli E.,
Sandru R.,
Clerico G.,
Realis Luc A.,
Trompetto M.
Publication year - 2013
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.12091
Subject(s) - medicine , bulbocavernosus reflex , fistula , surgery , reflex
Aim The results of repair of recto‐urethral fistulae ( RUF ) are presented using a bulbocavernosus muscle graft. Method 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. Results 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. Conclusion This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF .