Transperineal repair with bulbocavernosus muscle interposition for recto-urethral fistula
Article first published online: 27 FEB 2013
© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland
Volume 15, Issue 3, pages e138–e143, March 2013
How to Cite
Ganio, E., Martina, S., Novelli, E., Sandru, R., Clerico, G., Realis Luc, A. and Trompetto, M. (2013), Transperineal repair with bulbocavernosus muscle interposition for recto-urethral fistula. Colorectal Disease, 15: e138–e143. doi: 10.1111/codi.12091
- Issue published online: 27 FEB 2013
- Article first published online: 27 FEB 2013
- Accepted manuscript online: 5 DEC 2012 11:41AM EST
- Manuscript Accepted: 19 OCT 2012
- Manuscript Received: 1 JUN 2012
- Recto-urethral fistula;
- bulbocavernosus muscle interposition;
- bulbocavernosus flap
The results of repair of recto-urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft.
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.
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.
This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.