| Autor: |
Mutlu Değer, Fatih Gökalp, Eyüphan Gencel, Erkan Demir, Zühtü Tansuğ |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Journal of Urological Surgery, Vol 4, Iss 1, Pp 23-25 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
2148-9580 |
| DOI: |
10.4274/jus.483 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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