title: Interposition of gracilis muscle for rectourethral fistula repair: case report.
abstract: BACKGROUND
  Rectourethral fistula is a rare disease with a difficult surgical treatment. The etiology of rectourethral fistula is iatrogenic, secondary to prostate surgery, pelvic radiotherapy and a rare complication of rectal surgery. Surgical treatment options for rectourethral fistula are diverse. Interposition of gracilis muscle has a curative index of 100% with close surveillance, as reported by Nyham.
  
  
  METHODS
  We present a case of a 58-year-old male with iatrogenic rectourethral fistula secondary to radical prostatectomy and who was treated with interposition of the gracilis muscle. Eight weeks after surgery and with colostomy closed, no evidence of recurrence was detected.
  
  
  CONCLUSIONS
  Interposition of the gracilis muscle requires a multidisciplinary approach and demonstrates good shortterm results.
authors.affiliation: Servicio de Cirugía de Colon y Recto, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán," Secretaría de Salud, México. quinhec@hotmail.com
authors.forename: Quintín Héctor
authors.initials: QH
authors.lastname: González-Contreras
authors.forename: Jesús Alberto
authors.initials: JA
authors.lastname: Bahena-Aponte
authors.forename: Enrique
authors.initials: E
authors.lastname: Salinas-Aragón
authors.forename: Alejandra
authors.initials: A
authors.lastname: Jiménez-González
authors.forename: Gilberto
authors.initials: G
authors.lastname: González-Longoria
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D012003:Rectal Fistula / Q000601:surgery*; D013848:Thigh; D014522:Urethral Diseases / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods