title: Perineal decubitus ulcer with urethro-cutaneous fistula without bilateral ischiectomy: case report.
abstract: Perineal decubitus ulcer with urethro-cutaneous fistula has previously been reported in paraplegics as a late complication following bilateral ischiectomy. This case report illustrates the occurrence of the problem in a male paraplegic without bilateral ischiectomy, and this has not been previously reported in the English literature. Successful reconstruction was accomplished with a full thickness skin graft tube and and gracilis muscle flap.
mesh_terms: D000328:Adult; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000150:complications*; D010502:Perineum; D003668:Pressure Ulcer / Q000150:complications*; D012871:Skin Diseases / Q000209:etiology* / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps; D014522:Urethral Diseases / Q000209:etiology* / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology* / Q000601:surgery