Nerli Rajendra, Amarkhed S S, Hiremath M B
Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & MRC, Nehru Nagar, Belgaum 590 010, India.
Indian J Urol. 2009 Oct-Dec;25(4):467-9. doi: 10.4103/0970-1591.57914.
Introduction : Recto-urethral fistula is a rare complication of pelvic surgery, trauma, or inflammation. The many techniques for repairing these fistulas vary in their success rates. We describe the use of vascularised tunica vaginalis flap interposition in the repair of a recto-urethral fistula. Materials and Methods : Three children who had developed rectourethral fistula following surgery for anorectal anomaly/Hirschsprungs disease underwent repair through the perineal approach and interposition of vascularised tunica vaginalis flap in between the rectum and the urethra. Results : Three patients, all males aged 6 to 14 years old, presented with passage of urine per rectum following surgery. Following repair of the recto-urethral fistula, there was no recurrence of fistula in the follow-up period ranging from 1 to 6 years. Conclusions : Vascularised tunica vaginalis flap interposition is a straight-forward technique that can result in successful fistula repair.
直肠尿道瘘是盆腔手术、创伤或炎症的一种罕见并发症。修复这些瘘管的多种技术成功率各不相同。我们描述了带血管蒂的睾丸鞘膜瓣置入术在直肠尿道瘘修复中的应用。
三名因肛门直肠畸形/先天性巨结肠病手术后发生直肠尿道瘘的儿童，通过会阴途径进行修复，并在直肠和尿道之间置入带血管蒂的睾丸鞘膜瓣。
三名患者均为男性，年龄在6至14岁之间，术后出现经直肠排尿。直肠尿道瘘修复后，在1至6年的随访期内瘘管无复发。
带血管蒂的睾丸鞘膜瓣置入术是一种简单的技术，可成功修复瘘管。
