[Perineal approach to repair rectal and cutaneous fistulas involving the urethra and bladder].
The perineal approach was used in ten patients for the repair of fistulas involving the bladder or prostatic urethra. In the case of radiotherapy-induced (n=2) or recurrent fistulas (n=4) fecal diversion and interposition of the gracilis muscle was performed. In addition in three patients prostatectomy was performed. All fistulas were repaired successfully with minimal morbidity.
Borchers
H
H
Urologische Klinik, Universitätsklinikum, RWTH Aachen, 520570 Aachen.
Wolter
T P
TP
Pallua
N
N
Jakse
G
G
D000328:Adult; D000368:Aged; D001918:Brachytherapy / Q000009:adverse effects; D039021:Colonic Pouches; D015179:Colorectal Neoplasms / Q000532:radiotherapy / Q000601:surgery; D017577:Cutaneous Fistula / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000532:radiotherapy / Q000601:surgery; D011832:Radiation Injuries / Q000601:surgery; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects; D012003:Rectal Fistula / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012086:Reoperation; D013524:Surgical Flaps; D014522:Urethral Diseases / Q000601:surgery*; D001747:Urinary Bladder Fistula / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*