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KMID : 0358319850260010039
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Korean Journal of Urology
1985 Volume.26 No. 1 p.39 ~ p.43
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Gracilis Transplant in the Management of Persistent Prostatic Urethro-rectal Fistula
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이영태/Lee YT
설대위/Seel DJ
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Abstract
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This is the report of the use of a gracilis transplant in the correction of a refractory urethro-rectal fistula associated with congenital imperforate anus in a 26 year old male. Three days after birth anoplasty had been performed. Thereafter three further procedures (Swenson type pull-through, direct perineal repair and repeat pull-through with omental interposition) all failed. Success was finally obtained by use of a gracilis transplant introduced via a perineal incision in order to place viable healthy muscle between the urethral closure (performed through perineal incision) and the rectal mucosal closure (performed via posterior prostotomy). Good continence was achieved.
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