title: Pedicled vastus lateralis musculofascial flap as a new technique for repairing rectourethral fistula after radical prostatectomy.
abstract: We present a case of successful operative management of an iatrogenic rectourethral fistula with a pedicled vastus lateralis musculofascial flap. The fistula was created during radical prostatectomy operation. During the operation, it was deemed possible to spare this patient from a diverting colostomy and primarily repair a rectal injury. Postoperatively, however, a rectourethral fistula occurred, which was confirmed on retrograde urethrogram. A first attempt failed to close the fistula utilizing the transanal rectal flap advancement technique. A novel technique was attempted using a pedicled vastus lateralis musculofascial flap. This is the first report to our knowledge of repairing a rectourethral fistula with a pedicled vastus lateralis musculofascial flap.
authors.affiliation: Department of Nephro-Urologic Surgery and Andrology, Mie University Graduate School of Medicine, Tsu, Mie, Japan. yoichi_iwamoto@yahoo.co.jp
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Iwamoto
authors.forename: Hideki
authors.initials: H
authors.lastname: Kanda
authors.forename: Masaya
authors.initials: M
authors.lastname: Tsujii
authors.forename: Yuji
authors.initials: Y
authors.lastname: Toiyama
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Yamada
authors.forename: Norihito
authors.initials: N
authors.lastname: Soga
authors.forename: Kiminobu
authors.initials: K
authors.lastname: Arima
authors.forename: Akihiro
authors.initials: A
authors.lastname: Sudo
authors.forename: Masato
authors.initials: M
authors.lastname: Kusunoki
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sugimura
mesh_terms: D000368:Aged; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects*; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*