title: Recurrent posttraumatic urethro-vaginal fistula: a new application for ASTRA.
abstract: The authors describe the results of an application of the surgical technique called ASTRA (anterior sagittal transrectal approach) in a 16-year-old girl with recurrent urethro-vaginal fistula. The young girl had a posttraumatic urethro-vaginal fistula. It recurred after 4 operations by a direct vaginal approach before definitive correction with the ASTRA. Three years after the operation the patient has remained well with complete healing and no fistula recurrence confirmed by a voiding cystourethrogram and urodynamic and rectal manometric tests. This report suggests that ASTRA is a useful method of treating acquired or developmental anomalies of the perineal region.
authors.affiliation: Università degli Studi di Bologna, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Dòmini
authors.forename: A
authors.initials: A
authors.lastname: Aquino
authors.forename: F
authors.initials: F
authors.lastname: Rossi
authors.forename: M
authors.initials: M
authors.lastname: Lima
authors.forename: G
authors.initials: G
authors.lastname: Ruggeri
authors.forename: R
authors.initials: R
authors.lastname: Dòmini
mesh_terms: D000293:Adolescent; D005260:Female; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D012008:Recurrence; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery; D014621:Vagina / Q000293:injuries*; D014624:Vaginal Fistula / Q000209:etiology / Q000601:surgery*