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CASE REPORT
Year : 2013  |  Volume : 29  |  Issue : 2  |  Page : 148-150

Traumatic rectourethral fistula repair: A potential application of porcine small intestinal submucosa


1 Department of Urology, Christian Medical College Hospital, Ida Scudder Road, Vellore, Tamilnadu, India
2 Department of Colorectal Surgery, Christian Medical College Hospital, Ida Scudder Road, Vellore, Tamilnadu, India

Correspondence Address:
Nitin S Kekre
Professor and Head, Department of Urology, Christian Medical College Hospital, Ida Scudder Road, Vellore, Tamilnadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.114041

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Rectourethral fistula is an uncommon but devastating condition. Traumatic rectourethral fistula is still uncommon and repair of traumatic rectourethral fistula involves a complex procedure. Most of the urologists would prefer to repair the fistula through perineal route especially when urethral reconstruction is also required. The repaired ends of the fistula are separated with various interposition flaps and grafts in order to prevent recurrence. Gracilis interposition muscle flap is commonly used. We describe the first case of traumatic rectourethral fistula repair in a 45-year-old man using interposition of a porcine small intestinal submucosal (Biodesign™ (Surgisis ® ) graft.


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