Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique
Rectourinary fistulae and urinary-cutaneous fistulae are a rare yet devastating complication. Current options for tissue interposition include rectus, gracilis, or gluteal muscle, omentum, or intestine for use in coloanal pull-through procedures. In elderly patients, testicular interposition flaps m...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2015-01-01
|
Series: | Case Reports in Urology |
Online Access: | http://dx.doi.org/10.1155/2015/836454 |
id |
doaj-72e2b2ab6ad243ecbe369bba241a3518 |
---|---|
record_format |
Article |
spelling |
doaj-72e2b2ab6ad243ecbe369bba241a35182020-11-25T00:04:40ZengHindawi LimitedCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/836454836454Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical TechniqueValary T. Raup0Jairam R. Eswara1Stephen D. Marshall2Steven B. Brandes3Division of Urology, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USADivision of Urology, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, USADivision of Urology, Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USADivision of Urology, Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USARectourinary fistulae and urinary-cutaneous fistulae are a rare yet devastating complication. Current options for tissue interposition include rectus, gracilis, or gluteal muscle, omentum, or intestine for use in coloanal pull-through procedures. In elderly patients, testicular interposition flaps may be an excellent tissue option to use when vitalized tissue is necessary to supplement fistula repair. Elderly patients frequently have increased spermatic cord length, potentially offering a longer flap reach than use of a muscle flap. Additionally, mobilizing one of the testicles and developing it through the external inguinal ring may be a less morbid and less costly procedure than harvesting and tunneling a muscle flap. Longer follow-up and further studies are needed to determine the outcomes of this novel technique.http://dx.doi.org/10.1155/2015/836454 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Valary T. Raup Jairam R. Eswara Stephen D. Marshall Steven B. Brandes |
spellingShingle |
Valary T. Raup Jairam R. Eswara Stephen D. Marshall Steven B. Brandes Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique Case Reports in Urology |
author_facet |
Valary T. Raup Jairam R. Eswara Stephen D. Marshall Steven B. Brandes |
author_sort |
Valary T. Raup |
title |
Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique |
title_short |
Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique |
title_full |
Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique |
title_fullStr |
Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique |
title_full_unstemmed |
Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique |
title_sort |
testicular interposition flap for repair of perineal urinary fistulae: a novel surgical technique |
publisher |
Hindawi Limited |
series |
Case Reports in Urology |
issn |
2090-696X 2090-6978 |
publishDate |
2015-01-01 |
description |
Rectourinary fistulae and urinary-cutaneous fistulae are a rare yet devastating complication. Current options for tissue interposition include rectus, gracilis, or gluteal muscle, omentum, or intestine for use in coloanal pull-through procedures. In elderly patients, testicular interposition flaps may be an excellent tissue option to use when vitalized tissue is necessary to supplement fistula repair. Elderly patients frequently have increased spermatic cord length, potentially offering a longer flap reach than use of a muscle flap. Additionally, mobilizing one of the testicles and developing it through the external inguinal ring may be a less morbid and less costly procedure than harvesting and tunneling a muscle flap. Longer follow-up and further studies are needed to determine the outcomes of this novel technique. |
url |
http://dx.doi.org/10.1155/2015/836454 |
work_keys_str_mv |
AT valarytraup testicularinterpositionflapforrepairofperinealurinaryfistulaeanovelsurgicaltechnique AT jairamreswara testicularinterpositionflapforrepairofperinealurinaryfistulaeanovelsurgicaltechnique AT stephendmarshall testicularinterpositionflapforrepairofperinealurinaryfistulaeanovelsurgicaltechnique AT stevenbbrandes testicularinterpositionflapforrepairofperinealurinaryfistulaeanovelsurgicaltechnique |
_version_ |
1725428686963867648 |