Gracilis muscle transposition for XXXX .

@entity1 @entity4499 @entity295 @entity263 @entity292
OBJECTIVE: To assess the utility of gracilis muscle transposition in the treatment of @entity4499 . SUMMARY BACKGROUND DATA: Iatrogenic rectourethral @entity292 poses a rare but challenging complication of treatment for @entity263 . A variety of procedures have been described to treat this condition, none of which has gained acceptance as the procedure of choice. The aim of this study was to review the authors' experience with gracilis muscle transposition in the treatment of @entity4499 . METHODS: A retrospective chart review of all @entity1 who underwent gracilis muscle transposition for @entity4499 was performed, and follow-up was established by telephone interview. Successful repair was defined as absence of a @entity292 after reversal of fecal and urinary diversions. RESULTS: Eleven @entity1 , mean age of 62 years, underwent 12 gracilis muscle transpositions for rectourethral @entity292 between 1996 and 2001. Six @entity1 had a history of pelvic radiotherapy, and five @entity1 had previous failed attempts to repair the @entity292 . In nine @entity1 , the @entity292 healed following gracilis muscle transposition. One @entity1 developed a rectocutaneous @entity292 that healed with fibrin glue injection, and one developed @entity295 requiring debridement of the transposed gracilis. This @entity1 underwent a second gracilis transposition, which uneventfully healed. Overall, all of the @entity1 had closure of their diverting stomas and maintained healed rectourethral fistulas. There were no intraoperative complications, and the only long-term complication of this procedure was mild medial thigh numbness in two @entity1 . CONCLUSIONS: Gracilis muscle transposition is an effective surgical treatment for @entity4499 . It is associated with low morbidity and a high success rate.
