title: Traumatic rectourethral fistula repair: A potential application of porcine small intestinal submucosa.
abstract: Rectourethral fistula is an uncommon but devastating condition. Traumatic rectourethral fistula is still uncommon and repair of traumatic rectourethral fistula involves a complex procedure. Most of the urologists would prefer to repair the fistula through perineal route especially when urethral reconstruction is also required. The repaired ends of the fistula are separated with various interposition flaps and grafts in order to prevent recurrence. Gracilis interposition muscle flap is commonly used. We describe the first case of traumatic rectourethral fistula repair in a 45-year-old man using interposition of a porcine small intestinal submucosal (Biodesign™ (Surgisis(®)) graft.
authors: Department of Urology, Christian Medical College Hospital, Ida Scudder Road, Vellore, Tamilnadu, India.
authors: Shanmugasundaram
authors: S
authors: Rajaian
authors: Muthukrishna Pandian
authors: MP
authors: Rajadoss
authors: Sukriya
authors: S
authors: Nayak
authors: Nitin S
authors: NS
authors: Kekre
keywords: Rectourethral fistula; small intestinal submucosa; stricture; trauma
references: J Urol. 2005 Oct;174(4 Pt 2):1687-89; discussion 1689-90
references: 16148682
references: Urology. 2002 May;59(5):758-61
references: 11992915
references: Biotechnol Bioeng. 2002 Jul 20;79(2):211-6
references: 12115437
references: J Urol. 1997 Aug;158(2):421-4
references: 9224315
references: Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jan;20(1):117-20
references: 18604462
references: J Endourol. 2002 Feb;16(1):27-31
references: 11890446
references: Am J Surg. 1997 Mar;173(3):213-7
references: 9124629
references: World J Surg Oncol. 2011 Oct 12;9:126
references: 21992771
references: J Med Case Rep. 2009 Mar 16;3:7232
references: 19830143
references: J Urol. 1964 May;91:560-71
references: 14154543