Perineal decubitus ulcer with urethro-cutaneous fistula without bilateral ischiectomy: case report

Perineal decubitus ulcer with urethro-cutaneous fistula has previously been reported in paraplegics as a late complication following bilateral ischiectomy. This case report illustrates the occurrence of the problem in a male paraplegic without bilateral ischiectomy, and this has not been previously reported in the English literature. Successful reconstruction was accomplished with a full thickness skin graft tube and and gracilis muscle flap.