B G Matapurkar S.J. Hospital, New Delhi India
Source of Support: None, Conflict of Interest: None
The complex genitourinary rectal fistula is a rare but distressing condition. The management is difficult and has high complication rate. Some cases are even considered inoperable and the patients of this condition suffer for the whole life. Apart from fistula the problem in management is due to large defect of urethra resulting from partial or total urethral loss. The need of improvement in existing surgical procedures has been realised worldwide. Sixteen patients were repaired using peritoneum for interpositional purpose and for urethroplasty based on embryo-logical principles. All the fistulae closed successfully. Postoperative retrograde cysto-urethrogram revealed no stricture formation. Urinary incontinence was during initial postoperative period only. Other complications were minimum. The scientific rationale of use of peritoneum has been discussed.