1. Urologische Klinik, Universit?tsklinikum, RWTH Aachen, Pauwelsstra?e 30, 520570, Aachen, Deutschland 2. Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Universit?tsklinikum RWTH Aachen, Aachen, Deutschland
Abstract:
The perineal approach was used in ten patients for the repair of fistulas involving the bladder or prostatic urethra. In the case of radiotherapy-induced (n=2) or recurrent fistulas (n=4) fecal diversion and interposition of the gracilis muscle was performed. In addition in three patients prostatectomy was performed. All fistulas were repaired successfully with minimal morbidity.