Skip to main content
SpringerLink
Log in

Novel treatment of a rectourethroperineal fistula after perineal prostatectomy using autologous fat transplantation

  • Technical Note
  • Published:
Techniques in Coloproctology Aims and scope Submit manuscript

Abstract

We describe a novel approach for treatment of a rectourethroperineal fistula after perineal prostatectomy using autologous fat transplantation. Unlike other procedures, this technique does not include a wide dissection in scar tissue, thereby reducing the risk of injury to important neurovascular structures. Donor site morbidity is minimal and more advanced techniques can still be used in case of recurrence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Thomas C, Jones J, Jåger W, Hampel C, Thüroff JW, Gillitzer R (2010) Incidence, clinical symptoms and management of rectourethral fistulas after radical prostatectomy. J Urol 183:608–612

    Article  PubMed  Google Scholar 

  2. Bukowski TP, Chakrabarty A, Powell IJ, Frontera R, Perlmutter AD, Montie JE (1995) Acquired rectourethral fistula: methods of repair. J Urol 153:730–733

    Article  PubMed  CAS  Google Scholar 

  3. Ghoniem G, Elmissiry M, Weiss E, Langford C, Abdelwahab H, Wexner S (2008) Transperineal repair of complex rectourethral fistula using gracilis muscle flap interposition-can urinary and bowel functions be preserved. J Urol 179:1882–1886

    Article  PubMed  Google Scholar 

  4. Goodwin WE, Turner RD, Winter CC (1958) Rectourinary fistula: principles of management and a technique of surgical closure. J Urol 80:246–254

    PubMed  CAS  Google Scholar 

  5. Brown SA, Levi B, Lequeux C, Wong VW, Mojallal A, Longaker MT (2010) Basic science review on adipose tissue for clinicians. Plast Reconstr Surg 126:1936–1946

    Article  PubMed  CAS  Google Scholar 

  6. Khater R, Atanassov P, Anastassov Y, Pellerin P, Martinot-Duquennoy V (2009) Clinical and experimental study of autologous fat grafting after processing by centrifugation and serum lavage. Aesthet Plast Surg 33:37–43

    Article  Google Scholar 

  7. Von Heimburg D, Zachariah S, Low A, Pallua N (2001) Influence of different biodegradable carriers on the in vivo behaviour of human adipose precursor cells. Plast Reconstr Surg 108:411–420

    Article  Google Scholar 

  8. Sultan SM, Barr JS, Butula P et al (2012) Fat grafting accelerates revascularisation and decreases fibrosis following thermal injury. J Plast Reconstr Aesthet Surg 65:219–227

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that no conflict of interest exists.

Author information

Authors and Affiliations

  1. Department of Plastic Surgery and Hand Surgery, University Hospital of North Norway, 9038, Tromsö, Norway

    L. de Weerd

  2. Department of Radiology, University Hospital of North Norway, Tromsö, Norway

    S. Weum

  3. Department of Gastroenterological Surgery, University Hospital of North Norway, Tromsö, Norway

    S. Norderval

Authors
  1. L. de Weerd
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Weum
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Norderval
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to L. de Weerd.

Rights and permissions

Reprints and permissions

About this article

Cite this article

de Weerd, L., Weum, S. & Norderval, S. Novel treatment of a rectourethroperineal fistula after perineal prostatectomy using autologous fat transplantation. Tech Coloproctol 17, 235–238 (2013). https://doi.org/10.1007/s10151-012-0901-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10151-012-0901-y

Keywords

Search

Navigation