Gracilis Transplant in the Management of Persistent Prostatic Urethro-rectal Fistula.
- Author:
Young Tae LEE
1
;
David John SEEL
Author Information
1. Urology Section, Department of Surgery, Presbyterian Medical Center, Chonju, *Oncology Section, Department of Surgery, Presbyterian Medical Center, Chonju, Korea.
- Publication Type:Original Article
- Keywords:
gracilis transplant;
urethro-rectal fistula
- MeSH:
Adult;
Anus, Imperforate;
Fistula*;
Humans;
Male;
Parturition
- From:Korean Journal of Urology
1985;26(1):39-43
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This is the report of the use of a gracilis transplant in the correction of a refractory urethro-rectal fistula associated with congenital imperforate anus in a 26 year old male. Three days after birth anoplasty had been performed. Thereafter three further procedures (Swenson type pull-through, direct perineal repair and repeat pull-through with omental interposition) all failed. Success was finally obtained by use of a gracilis transplant introduced via a perineal incision in order to place viable healthy muscle between the urethral closure (performed through perineal incision) and the rectal mucosal closure (performed via posterior prostotomy). Good continence was achieved.
