Modification of the anterior perineal transanorectal approach for complicated prostatic urethrorectal fistula repair.
Rectoprostatic fistulas can pose challenging problems for surgical reconstruction. We describe and illustrate the successful repair of a difficult, post-traumatic prostatic urethrorectal fistula by combining use of a vascularized scrotal dartos flap interposition with a modified anterior rectal wall flap fistula repair (Park's technique). An anterior perineal transanorectal, transanorectal, transsphincteric approach provided excellent operative exposure as well as a direct path for the perineal pedicled dartos island flap en route to the fistula repair site.
Venable
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Department of Urology, Louisiana State University Medical Center, Shreveport.
D000328:Adult; D006801:Humans; D008297:Male; D011467:Prostate / Q000293:injuries; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*; D014948:Wounds, Gunshot / Q000150:complications