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Original article
Transperineal repair with bulbocavernosus muscle interposition for recto-urethral fistula
Article first published online: 27 FEB 2013
DOI: 10.1111/codi.12091
© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland
Additional Information
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
Publication History
- 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
- Abstract
- Article
- References
- Cited By
Keywords:
- Recto-urethral fistula;
- bulbocavernosus muscle interposition;
- bulbocavernosus flap
Abstract
Aim
The results of repair of recto-urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft.
Method
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.
Results
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.
Conclusion
This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.