Rectourethral fistula is a potentially devastating disease for the patient and difficult management problem for the physician. We report a case of radiation and salvage cryoablation-induced rectourethral fistula for treatment of prostate cancer successfully repaired with a combined endorectal advancement flap with Alloderm® graft. The surgical technique is described in detail. The patient is now one year post-repair with no evidence of recurrence.
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8.
YamazakiY., YagoR., TomaH.Dartos flap interposition in the surgical repair of rectourethral fistulas.Int J Urol2001; 8: 564–7.
9.
GarofaloT.E., DelaneyC.P., JonesS.M.Rectal advancement flap repair of rectourethral fistula: A 20-year experience.Dis Colon Rectum2003; 46: 762–9.
10.
DreznikZ., AlperD., VishneT.H., RamadanE.Rectal flap advancement: A simple and effective approach for the treatment of rectourethral fistula.Colorectal Dis2003; 5: 53–5.
11.
EppleyB.L.Experimental assessment of the revascularization of acellular human dermis for soft-tissue augmentation.Plast Reconstr Surg2001; 107: 757–62.
12.
CallcutR.A., SchurrM.J., SloanM., FaucherL.D.Clinical experience with Alloderm: A one-staged composite dermal/epidermal replacement utilizing processed cadaver dermis and thin autografts.Burns2006; 32: 583–8.
13.
de Queiroz CortesA., SallumA.W., CasatiM.Z.A two-year prospective study of coronally positioned flap with or without acellular dermal matrix graft.J Clin Periodontol2006; 33: 683–9.
14.
KhariwalaS.S., ChanJ., BlackwellK.E., AlamD.S.Temporomandibular joint reconstruction using a vascularized bone graft with Alloderm.J Reconstr Microsurg2007; 23: 25–30.
15.
ButlerC.E., LangsteinH.N., KronowitzS.J.Pelvic, abdominal, and chest wall reconstruction with AlloDerm in patients at increased risk for mesh-related complications.Plast Reconstr Surg2005; 116: 1263–75.
16.
DiazJ.J.Jr., GuyJ., BerkesM.B.Acellular dermal allograft for ventral hernia repair in the compromised surgical field.Am Surg2006; 72: 1181–7.
17.
AlboD., AwadS.S., BergerD.H., BellowsC.F.Decellularized human cadaveric dermis provides a safe alternative for primary inguinal hernia repair in contaminated surgical fields.Am J Surg2006; 192: e12–7.
18.
SheltonA.A., WeltonM.L.Transperineal repair of persistent rectovaginal fistulas using an acellular cadaveric dermal graft (AlloDerm).Dis Colon Rectum2006; 49: 1454–7.
19.
AyyildizA., CelebiB., AkgulK.T.A comparison of free skin graft, fascia lata, Alloderm, bovine pericardium and primary repair in urethrocutaneous fistulas without diversion: An experimental study.Pediatr Surg Int2006; 22: 809–14.
20.
DubinM.G., FeldmanM., IbrahimH.Z.Allograft dermal implant (AlloDerm) in a previously irradiated field.Laryngoscope2000; 110: 934–7.
