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Inicio Actas Urológicas Españolas Fístula prostatorectal yatrogénica. reparación con colgajo pediculado de mús...
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Vol. 28. Issue 6.
Pages 466-471 (January 2004)
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Vol. 28. Issue 6.
Pages 466-471 (January 2004)
Fístula prostatorectal yatrogénica. reparación con colgajo pediculado de músculo gracilis. presentación de dos casos
Yatrogenic prostatorectal fistula. use of gracilis muscle pedicled flap for its reparation. presentation of two cases
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A. Blanco díez1, L. álvarez castelo, E. Fernández rosado, M. Ruibal moldes, S. Novás castro, A. Barbagelata lópez, M. González martín
1 Servicio de Urología
Á. Álvarez jorge*
* Cirugía Plástica. Complejo Hospitalario Universitario Juan Canalejo. La Coruña
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Resumen
Fístula prostatorectal yatrogénica. reparación con colgajo pediculado de músculo gracilis. presentación de dos casos

Presentamos dos casos clínicos en los cuales durante la realización de una adenomectomía retropúbica por patología prostática benigna se produce una fístula prostatorectal. Describimos la cirugía de reparación de la misma con colgajo de músculo gracilis o recto interno, y su posterior Buena evolución. Presentamos imagines cistográficas y de enemas opacos que presentan un antes y un después de dicha cirugía. Los pacientes están sin incontinencia ni problemas relacionados con la cirugía de desinserción muscular.

Palabras clave:
Fístula prostatorectal
Músculo gracilis
Fistulorrafia
Complicaciones post-adenomectomía
Abstract
Yatrogenic prostatorectal fistula. use of gracilis muscle pedicled flap for its reparation. presentation of two cases

We present two cases in which during retropubic prostatectomy for benign prostatic disease a prostatorectal fistula ocurred. We describe its reparation using a pedicled flap of gracilis muscle. We also present cistografic and opaque enema images wich shows the before and after of this surgery. Patients had good outcome without incontinence nor problems related to muscle desinsertion surgery.

Key words:
Prostatorectal fistula
Gracilis muscle
Fistulorraphy
Complications post retropubic adenomectomy

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