Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy Patient

Urinary continence can be achieved in up to 90% of patients with bladder exstrophy. However, select patients remain incontinent despite modern reconstruction. Repeat operations for continence combined with the congenital pelvic abnormalities of exstrophy put patients at risk for urinary fistula form...

Full description

Bibliographic Details
Main Authors: Daniel A. Friedlander, Kathy M. Lue, Jason E. Michaud, John P. Gearhart, Richard J. Redett, Heather N. Di Carlo
Format: Article
Language:English
Published: Elsevier 2017-07-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442017300499
_version_ 1818241912107171840
author Daniel A. Friedlander
Kathy M. Lue
Jason E. Michaud
John P. Gearhart
Richard J. Redett
Heather N. Di Carlo
author_facet Daniel A. Friedlander
Kathy M. Lue
Jason E. Michaud
John P. Gearhart
Richard J. Redett
Heather N. Di Carlo
author_sort Daniel A. Friedlander
collection DOAJ
description Urinary continence can be achieved in up to 90% of patients with bladder exstrophy. However, select patients remain incontinent despite modern reconstruction. Repeat operations for continence combined with the congenital pelvic abnormalities of exstrophy put patients at risk for urinary fistula formation. We report the use of a rectus muscle flap in the repair of two concomitant vesicocutaneous and urethrocutaneous fistulae in a patient with classic bladder exstrophy.
first_indexed 2024-12-12T13:36:52Z
format Article
id doaj.art-6b5ffc92645940f9bec0be10503f3d68
institution Directory Open Access Journal
issn 2214-4420
language English
last_indexed 2024-12-12T13:36:52Z
publishDate 2017-07-01
publisher Elsevier
record_format Article
series Urology Case Reports
spelling doaj.art-6b5ffc92645940f9bec0be10503f3d682022-12-22T00:22:54ZengElsevierUrology Case Reports2214-44202017-07-0113C424410.1016/j.eucr.2017.03.004Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy PatientDaniel A. Friedlander0Kathy M. Lue1Jason E. Michaud2John P. Gearhart3Richard J. Redett4Heather N. Di Carlo5Division of Pediatric Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USADivision of Pediatric Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USADivision of Pediatric Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USADivision of Pediatric Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Plastic and Reconstructive Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USADivision of Pediatric Urology, The James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USAUrinary continence can be achieved in up to 90% of patients with bladder exstrophy. However, select patients remain incontinent despite modern reconstruction. Repeat operations for continence combined with the congenital pelvic abnormalities of exstrophy put patients at risk for urinary fistula formation. We report the use of a rectus muscle flap in the repair of two concomitant vesicocutaneous and urethrocutaneous fistulae in a patient with classic bladder exstrophy.http://www.sciencedirect.com/science/article/pii/S2214442017300499Bladder exstrophyFistulaMuscle flapPedicled flap
spellingShingle Daniel A. Friedlander
Kathy M. Lue
Jason E. Michaud
John P. Gearhart
Richard J. Redett
Heather N. Di Carlo
Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy Patient
Urology Case Reports
Bladder exstrophy
Fistula
Muscle flap
Pedicled flap
title Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy Patient
title_full Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy Patient
title_fullStr Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy Patient
title_full_unstemmed Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy Patient
title_short Repair of Vesicocutaneous and Urethrocutaneous Fistulae with Rectus Muscle Flap in a Bladder Exstrophy Patient
title_sort repair of vesicocutaneous and urethrocutaneous fistulae with rectus muscle flap in a bladder exstrophy patient
topic Bladder exstrophy
Fistula
Muscle flap
Pedicled flap
url http://www.sciencedirect.com/science/article/pii/S2214442017300499
work_keys_str_mv AT danielafriedlander repairofvesicocutaneousandurethrocutaneousfistulaewithrectusmuscleflapinabladderexstrophypatient
AT kathymlue repairofvesicocutaneousandurethrocutaneousfistulaewithrectusmuscleflapinabladderexstrophypatient
AT jasonemichaud repairofvesicocutaneousandurethrocutaneousfistulaewithrectusmuscleflapinabladderexstrophypatient
AT johnpgearhart repairofvesicocutaneousandurethrocutaneousfistulaewithrectusmuscleflapinabladderexstrophypatient
AT richardjredett repairofvesicocutaneousandurethrocutaneousfistulaewithrectusmuscleflapinabladderexstrophypatient
AT heatherndicarlo repairofvesicocutaneousandurethrocutaneousfistulaewithrectusmuscleflapinabladderexstrophypatient