title: A novel approach to the repair of urethrocutaneous fistulae arising after abdominoperineal anorectal resection.
abstract: This case report describes a novel approach to the repair of perineal urethrocutaneous fistulae (UCF) after abdominoperineal resection (APR). A 62-year-old patient developed a UCF after an APR for rectal cancer complicated by perineal abscess formation. The patient presented with continuous urinary drainage from the fistula that persisted despite a number of conservative and surgical measures. The patient underwent successful repair of the urethrocutaneous fistula in prone position-an approach that has not previously been described in the literature. Repair was performed by the multi-disciplinary team of a reconstructive urologist, colorectal surgeon, and plastic surgeon. Post-operative retrograde urethrogram demonstrated the absence of a persistent fistula tract and the patient has been continent for 18 months. The prone approach for UCF repair allows for excellent access to the fistula tract for posterior urethroplasty in a patient that has had prior APR.
authors.affiliation: Division of Urology, McMaster University, Hamilton, ON;
authors.forename: Alaya
authors.initials: A
authors.lastname: Yassein
authors.affiliation: Division of Urology, McMaster University, Hamilton, ON;
authors.forename: Shawn
authors.initials: S
authors.lastname: Dason
authors.affiliation: Division of Urology, McMaster University, Hamilton, ON;
authors.forename: Timothy
authors.initials: T
authors.lastname: Davies
authors.affiliation: Division of Surgery, McMaster University, Hamilton, ON.
authors.forename: Stephen
authors.initials: S
authors.lastname: Kelly
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