title: Modification of the anterior perineal transanorectal approach for complicated prostatic urethrorectal fistula repair.
abstract: 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.
authors.affiliation: Department of Urology, Louisiana State University Medical Center, Shreveport.
authors.forename: D D
authors.initials: DD
authors.lastname: Venable
mesh_terms: 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