Article ; Online: Mid-Perineal Scrotal Flap for the Repair of Urorectal Fistulas: A New Technique.
2023 Volume 107, Issue 10-12, Page(s) 988–994
Abstract: Rectourethral fistula (RUF) is an infrequent but severe complication of the treatment of prostate cancer. Herein, we describe a new surgical approach used successfully in 3 patients that incorporates a partially de-epithelialized mid-perineal scrotal ... ...
| Abstract | Rectourethral fistula (RUF) is an infrequent but severe complication of the treatment of prostate cancer. Herein, we describe a new surgical approach used successfully in 3 patients that incorporates a partially de-epithelialized mid-perineal scrotal flap (MPSF), used as interposition flap, that can be used in almost every patient with RUF after radiotherapy, regardless of having or not a concomitant posterior urethra or bladder neck stricture or contracture that might require a simultaneous urethroplasty. The interposition flap includes well vascularized subcutaneous fat tissue by distal vascular branches of the internal pudendal vessels that reaches without tension the deep perineum up to the posterior bladder neck. The MPSF is a time efficient procedure that allows excellent access to the bulbar urethra and to the surgical plane between rectum and prostate and it does not require a separate incision for the flap harvesting procedure when required. |
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| MeSH term(s) | Male ; Humans ; Perineum/surgery ; Follow-Up Studies ; Surgical Flaps ; Rectal Fistula/surgery ; Rectal Fistula/etiology ; Urethral Diseases/surgery ; Urethral Diseases/etiology ; Urinary Fistula/etiology ; Urinary Fistula/surgery |
| Language | English |
| Publishing date | 2023-10-30 |
| Publishing country | Switzerland |
| Document type | Case Reports |
| ZDB-ID | 204045-1 |
| ISSN | 1423-0399 ; 0042-1138 |
| ISSN (online) | 1423-0399 |
| ISSN | 0042-1138 |
| DOI | 10.1159/000534247 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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