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Case Reports
. 2023 Mar;62(3):295-298.
doi: 10.1007/s00120-022-01924-2. Epub 2022 Sep 6.

[Closure of persisting rectourethral fistula after suprasymphyseal adenoma enucleation of the prostate by combining the Bressel-Naujox and gracilis flap procedure]

[Article in German]
M Reichert  1 , P Schüler  2 , A Stepniewski  3 , G Felmerer  3 , L Trojan  4 , H C von Knobloch  4
Affiliations
Case Reports

[Closure of persisting rectourethral fistula after suprasymphyseal adenoma enucleation of the prostate by combining the Bressel-Naujox and gracilis flap procedure]

[Article in German]
M Reichert et al. Urologie. 2023 Mar.

Abstract
in English, German

When taking into consideration the basic principles of fistula surgery, numerous options are available for the surgical repair of rectourethral fistulas. However, there is no standard regarding which surgical method should be used under which circumstances-due to the heterogeneity of this disease. This case report describes the individual adaptation of a surgical technique that is used for the treatment of vesicovaginal fistulas to treat a rectourethral fistula in a patient who had already undergone an unsuccessful fistula closure attempt. Successful closure of the fistula was achieved on the basis of an established method using tissue interposition.

Unter Berücksichtigung einiger Grundprinzipien der Fistelchirurgie gibt es verschiedene Möglichkeiten der operativen Sanierung urethrorektaler Fisteln. Ein Standard, welche Operationsmethode unter welchen Umständen eingesetzt werden sollte, gibt es – auch aufgrund der Heterogenität dieser Erkrankung – nicht. Dieser Fall beschreibt die individuelle Adaptation einer Operationstechnik, welche zur Behandlung vesikovaginaler Fisteln eingesetzt wird, auf die Behandlung einer urethrorektalen Fistel eines Patienten nach bereits frustranem Versuch eines Fistelverschlusses, welche auf Basis einer etablierten Methode unter Verwendung eines Interponats zum Erfolg führte.

Keywords: Complications after enucleation of the prostate; Fistula closure with tissue interposition; Fistula surgery; Rectovesical fistula; Vesicovaginal fistula closure.

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