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Scholars Journal of Medical Case Reports | Volume-2 | Issue-03
Treatment and Repair of Recto-Urethral Fistulas with Tunica Vaginalis Flap
Gurunath Rao K, Subith Kumar K, Satyam Sharma, Sasi Kumar J
Published: March 30, 2014 | 66 59
DOI: 10.36347/sjmcr.2014.v02i03.032
Pages: 212-213
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Abstract
Recto-Urethral fistula is an uncommon complication of pelvic surgery or trauma. Most of these patients require definitive operative repair. The techniques used for repairing these fistulas very much vary in techniques and success rates. Because of the rarity of this condition and variability in techniques used, in this report of small number of patients using vascularised tunica vaginalis flap interposition was undertaken. This is a report of 2 children who had developed recto-urethral fistulae following ano-rectal anomaly correction surgeries. The fistula repair was done through perineal approach and interposition of vascularised tunica vaginalis flap in between rectum and urethra. Following the recto-urethra fistula repair there was no recurrence in the follow-up period of 3 years.