title: Transperineal repair with bulbocavernosus muscle interposition for recto-urethral fistula.
abstract: OBJECTIVE
  The results of repair of recto-urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft.
  
  
  METHODS
  Prospectively collected data were reviewed on 11 patients with RUF operated on between 2003 and 2011. Of these, six were treated by a bulbocavernosus flap. Two RUF had occurred after prostatectomy, three after prostatectomy and radiotherapy and one after perineal trauma; all had a urinary diversion.
  
  
  RESULTS
  Closure of the fistula was achieved in all patients and was maintained for the duration of the period of follow up (mean ± SD = 43.5 ± 24.7 months; range, 8-80 months) There were no complications.
  
  
  CONCLUSIONS
  This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.
authors.affiliation: Colorectal Eporediensis Centre, Gruppo Policlinico di Monza, Divisione di Chirurgia Colorettale, Clinica Santa Rita, Vercelli, Italy. ganio.ezio@yahoo.it
authors.forename: E
authors.initials: E
authors.lastname: Ganio
authors.forename: S
authors.initials: S
authors.lastname: Martina
authors.forename: E
authors.initials: E
authors.lastname: Novelli
authors.forename: R
authors.initials: R
authors.lastname: Sandru
authors.forename: G
authors.initials: G
authors.lastname: Clerico
authors.forename: A
authors.initials: A
authors.lastname: Realis Luc
authors.forename: M
authors.initials: M
authors.lastname: Trompetto
mesh_terms: D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000150:complications* / Q000601:surgery; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014513:Ureter / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*