Pedicled vastus lateralis musculofascial flap as a new technique for repairing rectourethral fistula after radical prostatectomy
✍ Scribed by Yoichi Iwamoto; Hideki Kanda; Masaya Tsujii; Yuji Toiyama; Yasushi Yamada; Norihito Soga; Kiminobu Arima; Akihiro Sudo; Masato Kusunoki; Yoshiki Sugimura
- Publisher
- John Wiley and Sons
- Year
- 2011
- Tongue
- English
- Weight
- 992 KB
- Volume
- 31
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
We present a case of successful operative management of an iatrogenic rectourethral fistula with a pedicled vastus lateralis musculofascial flap. The fistula was created during radical prostatectomy operation. During the operation, it was deemed possible to spare this patient from a diverting colostomy and primarily repair a rectal injury. Postoperatively, however, a rectourethral fistula occurred, which was confirmed on retrograde urethrogram. A first attempt failed to close the fistula utilizing the transanal rectal flap advancement technique. A novel technique was attempted using a pedicled vastus lateralis musculofascial flap. This is the first report to our knowledge of repairing a rectourethral fistula with a pedicled vastus lateralis musculofascial flap. V