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Updated: May 16, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Transperineal repair with bulbocavernosus muscle interposition for recto-urethral fistula
Aim:
The results of repair of recto-urethral fistulae (RUF) are presented using a bulbocavernosus muscle graft.
Method:
Prospectively collected data were reviewed on 11 patients with RUF operated on between 2003 and 2011. Of these, six were treated by a bulbocavernosus flap. Two RUF had occurred after prostatectomy, three after prostatectomy and radiotherapy and one after perineal trauma; all had a urinary diversion.
Results:
Closure of the fistula was achieved in all patients and was maintained for the duration of the period of follow up (mean ± SD = 43.5 ± 24.7 months; range, 8-80 months) There were no complications.
Conclusion:
This new technique for the repair of RUF is safe and effective, especially in patients with complex postradiation RUF.
