Transperineal Repair of Complex Rectourethral Fistula Using Gracilis Muscle Flap Interposition—Can Urinary and Bowel Functions be Preserved?

Abstract

Gracilis muscle transposition is an excellent procedure for treating complex rectourethral fistula. Several other local factors may affect the postoperative urinary and fecal outcome. The collaboration of colorectal and urological surgeons is necessary to achieve optimal results.