[Closure of a hypogastric urinary fistula after replacement enterocystoplasty with a flap of the rectus abdominis muscle].
Urinary fistulization to the skin is a rare complication of cystoprostatectomy with replacement enterocystoplasty. In two cases, fistulization did not respond to continuous drainage of the urine and was treated with a muscle flap using the abdominus rectus. This method offers rapid parietal repair giving a reliable rapid cicatrization since the interpositioned flap is well vascularized in an area of poor tissue quality.
Clinique Urologique, Hôpital Cochin, Paris.
A
A
Gout
T
T
Flam
P
P
Diner
M
M
Zerbib
B
B
Debre
D000368:Aged; D017577:Cutaneous Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011468:Prostatectomy / Q000009:adverse effects*; D013524:Surgical Flaps; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*
Fermeture d'une fistule urinaire hypogastrique après entérocystoplastie de remplacement par lambeau musculaire de grand droit.