title: Recurrent posttraumatic urethrovaginal 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 the case of a 16-year-old girl with a posttraumatic urethrovaginal fistula. The young girl with a posttraumatic urethrovaginal fistula had recurrence after 4 surgical attempts at closure performed by the vaginal approach before it was definitively corrected with the ASTRA. Two years after the ASTRA operation the patient is well with a complete restitution of function confirmed by a voiding cystourethrogram and urodynamic and rectal manometric tests. The successful recovery confirmed that ASTRA may be an excellent method of treating the developmental or acquired anomalies of the perineal region.
authors.affiliation: Cattedra di Chirurgia Pediatrica, Università G.D'Annunzio Chieti, 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; D006801:Humans; D012008:Recurrence; D012086:Reoperation; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery*; D014947:Wounds and Injuries / Q000150:complications