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 101
- Downloads 0
Re: Incidences and Oncological Outcomes of Urothelial Carcinoma in Kidney Transplant Recipients
The increased number of successfully performed kidney transplantations increases, life expectancy and the chance for urologists to treat urothelial carcinoma (UC) in kidney transplant (KTs) recipients. In this non-rando...
The Effect of One-shot Multi-access Percutaneous Nephrolithotomy on Complications
Objective: Kidney stones can be seen as single and pelvic stones as well as complex and multiple calculi. For this reason, single-access is not always sufficient for the treatment of kidney stones and multi-access percut...
Bladder Sarcomatoid Carcinoma in an Adolescent: 10-Year Survival After Aggressive Surgical Management
Bladder cancer is a rare entity in the pediatric population. Sarcomatoid carcinoma is considered a variant histology of bladder urothelial carcinoma and is exceedingly unusual in children. We present a case of a 14-year-...
Re: Male Infertility: A Biomarker of Individual and Familial Cancer Risk
.
Assessment of Risk Factors, Treatment and Hospital Stay in Complicated Urinary Tract Infections in Men Caused by Pseudomonas: A Case-Control Study
Objective: It is known that Pseudomonas has been isolated more frequently in health care-related urinary tract infections (UTIs). It was aimed to determine the risk factors and empiric therapies due to antibiotic resista...