Successful Urethrorectal Fistula Repair Using GelPOINT Path Anal Access Sheath in Pelvic Fracture Urethral Injury

Q4 Medicine

IJU Case Reports Pub Date : 2025-04-27 DOI:10.1002/iju5.70028

Wataru Tanaka, Akihiro Kanematsu, Naohito Beppu, Kenichiro Kawai, Shinpei Yoshioka, Kimihiro Shimatani, Toeki Yanagi, Masao Kakibuchi, Masataka Ikeda, Shingo Yamamoto

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Abstract

Introduction

We present a case of rectourethral fistula complicating urethral trauma, successfully treated using a transanal exposure device.

Case Presentation

A male in his twenties was referred to us with a pelvic fracture urethral injury. Preoperative imaging revealed an urethrorectal fistula. Excision and primary anastomosis urethroplasty was performed transperineally. The fistula was primarily closed transanally via GelPOINT Path access sheath, which provided wide access to the anal canal. The closure was reinforced perineally, with a gracilis muscle flap interposition. Postoperative urethral patency was excellent without recurrent fistula.

Conclusion

This method could be an effective alternative for urethrorectal fistula repair.

Abstract Image

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GelPOINT路径肛管鞘成功修复骨盆骨折尿道损伤尿道直肠瘘

我们报告一例直肠尿道瘘合并尿道外伤，成功地治疗了经肛暴露装置。病例介绍一名二十多岁的男性因骨盆骨折和尿道损伤而被转介到我们这里。术前影像学显示为尿道直肠瘘。经会阴行切除及一期吻合尿道成形术。瘘管主要通过GelPOINT路径通路鞘经肛门闭合，该鞘提供了通往肛管的宽阔通道。会阴处加强闭合，股薄肌瓣介入。术后尿道通畅良好，无瘘管复发。结论该方法是尿道直肠瘘修复的一种有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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