Purpose: To report the author’s experience on a miniinvasive technique using bioprosthetic plug and a rectal wall flap advancement in the treatment of recurrent rectourethral fistula. Materials and methods: Between 2013 and 2015, seven patients with recurrent recto-urethral fistula were referred to the Pederzoli Hospital, Peschiera del Garda, Verona,Italy. Intraoperatively all patients were found to have a rectal wall lesion and were treated with urinary and fecal diversion. For the persistence of the fistula, all the patients underwent a mini-invasive treatment consisting on placement of a bioprosthetic plug in the fistula covered by an endorectal advancement flap through a trans-anal and transurethral combined technique. Results: Median operative time was 48 min with a median blood loss of 30 ml. Median hospital stay was 3 days (IQR 1–3). No case of fistula recurrence or plug migration was described. None of the patients experienced fecal or urinary incontinence. All patients obtained complete fistula healing. Conclusions: Recurrent recto-urethral fistula is a challenging postsurgical complication for surgeons and urologists,
Use of biological mesh in trans-anal treatment for recurrent recto-urethral fistula / Moretto, G; Casaril, A; Inama, Marco. - In: INTERNATIONAL UROLOGY AND NEPHROLOGY. - ISSN 0301-1623. - ELETTRONICO. - Epub ahead of print:Epub ahead of print(2017).
|Titolo:||Use of biological mesh in trans-anal treatment for recurrent recto-urethral fistula|
|Data di pubblicazione:||2017|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1007/s11255-017-1652-5|
|Appare nelle tipologie:||1.1 Articolo in rivista|