Abstract
We report the use of Gracilis muscle to repair a large urethral defect. A 57-year-old-man with rectal cancer underwent abdominoperineal resection including part of the prostate and seminal vesicle. Soon after surgery, he presented with massive urinary leakage from the prostatic urethra. Conservative treatment for one month failed. The defect of the prostatic urethra, measuring 2.5 cm in diameter, was closed with the right gracilis muscular flap. About five years and 6 months after surgery, the patient can void spontaneously without incontinence. Cystoscopy demonstrated good epithelization of the reconstructed urethra without stenosis. The gracilis muscular flap was easily available and useful for closure of a large urethral defect.
Highlights
In a case of rectal cancer with a limited invasion to the prostate, partial resection of the prostate should be tried to avoid pelvic exenteration
We report the use of Gracilis muscle to repair a large urethral defect
A 57-year-old-man with rectal cancer underwent abdominoperineal resection including part of the prostate and seminal vesicle. He presented with massive urinary leakage from the prostatic urethra
Summary
In a case of rectal cancer with a limited invasion to the prostate, partial resection of the prostate should be tried to avoid pelvic exenteration. We describe a case of a postoperative urethral rupture in which a gracilis muscular flap was useful for repair
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
