Successful Treatment of an Urethro-rectal Fistula Using Gracilis Muscle Rotation Flap - Report of a Case

Abstract

Rectourethral fistula is an uncommon complication of prostatic or rectal surgery and radiotherapy without standard and ideal therapy. We report a serious complication of prostatourethral-rectal fistula induced by laser vaporization of the bladder neck failed to excision and repair the fistula directly. We successfully performed a fistulectomy via a transperineal approach followed by reconstruction with a gracilis muscle flap. The patient has remained asymptomatic with good cosmetic results till now. Our results indicate that this procedure is simple and effective and carries less morbidity than other approaches of treating difficult rectourethral fistula.