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Repair of urinary tract fistulas with bulbocavernosus myocutaneous flaps

Journal Article · · Obstet. Gynecol.; (United States)
OSTI ID:6847789
Urinary tract fistulas resulting from severe trauma or pelvic irradiation are often associated with extensive tissue loss, scar formation, and fibrosis. Two cases, one with a urethro-vaginal fistula secondary to trauma and one with a vesico-vaginal fistula secondary to irradiation, are presented. In neither case could the bladder, urethra, or vagina be repaired primarily. Using a bulbocavernosus myocutaneous ''island'' flap, the fistulas were successfully repaired. The anatomy of the graft and the operative procedure are described. This new procedure should be considered in urinary tract fistulas in which there is extensive tissue loss and scarring.
Research Organization:
Division of Gynecology, Uniformed Services University School of Medicine, Bethesda, Maryland
OSTI ID:
6847789
Journal Information:
Obstet. Gynecol.; (United States), Journal Name: Obstet. Gynecol.; (United States) Vol. 63:4; ISSN OBGNA
Country of Publication:
United States
Language:
English