[An Adult Case of Transperineal Repair of Congenital Rectourethral Fistula Using Gracilis Muscle Flap Interposition].
A man in his 50s was referred to our hospital after recurrent severe urinary tract infection. He had undergone anoplasty for anorectal malformation during early infancy. He noticed urinary leakage from the anus for a long time. Under diagnosis of congenital rectourethral fistula, we performed fistula closure. The fistula was transsected via transperineal incision and each stump was closed. A gracilis muscle flap approximately 30 cm long was harvested from the left thigh, brought into the deepest part between the separated rectum and urethra through a subcutaneous tunnel and fixed there. The urinary leakage from the anus disappeared, and the infection resolved. Application of gracilis muscle flap for congenital diseases is rare, but was useful in the present case.
The Department of Urology, Hyogo College of Medicine.
Toeki
T
Yo
The Department of Urology, Hyogo College of Medicine.
Akihiro
A
Kanematsu
The Department of Urology, Hyogo College of Medicine.
Takeshi
T
Hanasaki
The Department of Urology, Hyogo College of Medicine.
Yukako
Y
Nakanishi
The Department of Urology, Hyogo College of Medicine.
Yoshikazu
Y
Togo
The Department of Urology, Hyogo College of Medicine.
Toru
T
Suzuki
The Department of Urology, Hyogo College of Medicine.
Yoshihide
Y
Higuchi
The Department of Urology, Hyogo College of Medicine.
Michio
M
Nojima
The Department of Urology, Hyogo College of Medicine.
Shingo
S
Yamamoto
The Department of Pediatric Surgery, Hyogo College of Medicine.
Hiroomi
H
Okuyama
D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D012003:Rectal Fistula / Q000151:congenital / Q000601:surgery*; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery*; D014548:Urinary Fistula / Q000151:congenital / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*