Combined endorectal advancement flap with Alloderm graft repair of radiation and cryoablation-induced rectourethral fistula.
Rectourethral fistula is a potentially devastating disease for the patient and difficult management problem for the physician. We report a case of radiation and salvage cryoablation-induced rectourethral fistula for treatment of prostate cancer successfully repaired with a combined endorectal advancement flap with Alloderm graft. The surgical technique is described in detail. The patient is now one year post-repair with no evidence of recurrence.
Lesser
Timothy
T
Department of Urology, Section of Colon and Rectal Surgery, Kaiser Permanente, Los Angeles, California, USA. timlesser@gmail.com
Aboseif
Sherif
S
Abbas
Maher A
MA
D000368:Aged; D003094:Collagen; D003452:Cryosurgery / Q000009:adverse effects; D006801:Humans; D008297:Male; D011471:Prostatic Neoplasms / Q000532:radiotherapy / Q000601:surgery; D011878:Radiotherapy / Q000009:adverse effects; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D017768:Skin, Artificial; D013524:Surgical Flaps; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*
C440568:Alloderm; D003094:Collagen