{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:46:02Z","timestamp":1792028762949,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Iatrogenic urethral injury and rectourethral fistula are rare and challenging complications of pelvic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>Case 1 involved a 72\u2010year\u2010old man with persistent urinary leakage after primary repair of a prostatic urethral injury sustained during rectal cancer surgery following neoadjuvant chemoradiotherapy. Approximately 2\u2009years later, reclosure of the urethral defect with local periurethral reinforcement and gracilis muscle flap coverage enabled catheter removal and spontaneous voiding. Case 2 involved a 62\u2010year\u2010old man who developed a rectourethral fistula after robot\u2010assisted radical prostatectomy. After conservative management failed, fistulectomy, rectal and urinary tract repair, and gracilis muscle flap interposition achieved fistula closure and subsequent colostomy reversal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These cases illustrate two distinct reconstructive roles of the gracilis muscle flap: vascularized reinforcement of a compromised urethral repair and interposition between repaired urinary and rectal sites.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70283","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:27:32Z","timestamp":1792027652000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gracilis Muscle Flap Reconstruction for Refractory Urethral Complications After Pelvic Surgery: A Report of Two Cases"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1829-4014","authenticated-orcid":false,"given":"Akihiro","family":"Maeda","sequence":"first","affiliation":[{"name":"Department of Urology, Faculty of Medicine Saga University  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8266-6652","authenticated-orcid":false,"given":"Shohei","family":"Tobu","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Saga University  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minika","family":"Yukimoto","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Saga University  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1618-1646","authenticated-orcid":false,"given":"Shuhei","family":"Kusano","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Saga University  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5411-1377","authenticated-orcid":false,"given":"Maki","family":"Kawasaki","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Saga University  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9460-8759","authenticated-orcid":false,"given":"Hiroaki","family":"Kakinoki","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Saga University  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuru","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine Saga University  Saga Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"issue":"20","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"4955","DOI":"10.3390\/cancers15204955","article-title":"Urethral Injury in Rectal Cancer Surgery: A Comprehensive Study Using Cadaveric Dissection, Imaging Analyses, and Clinical Series","volume":"15","author":"Planellas P.","year":"2023","journal-title":"Cancers (Basel)"},{"issue":"3","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.eururo.2009.11.034","article-title":"Comprehensive Standardized Report of Complications of Retropubic and Laparoscopic Radical Prostatectomy","volume":"57","author":"Rabbani F.","year":"2010","journal-title":"European Urology"},{"key":"e_1_2_11_4_1","volume-title":"Clinical Practice Guideline for Urological Trauma, 2022 Edition","author":"Japanese Urological Association","year":"2022"},{"key":"e_1_2_11_5_1","unstructured":"European Association of Urology \u201cEAU Guidelines on Urological Trauma \u201dPresented at the EAU Annual Congress London 2026 (EAU Guidelines Office 2026)."},{"issue":"8","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1111\/j.1464-410X.2010.09686.x","article-title":"Urorectal Fistulae Following the Treatment of Prostate Cancer","volume":"107","author":"Mundy A. 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V.","year":"2020","journal-title":"Urology Annals"}],"container-title":["IJU Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70283","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/iju5.70283","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:27:36Z","timestamp":1792027656000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/iju5.70283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,14]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/iju5.70283"],"URL":"https:\/\/doi.org\/10.1002\/iju5.70283","archive":["Portico"],"relation":{},"ISSN":["2577-171X","2577-171X"],"issn-type":[{"value":"2577-171X","type":"print"},{"value":"2577-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,14]]},"assertion":[{"value":"2026-08-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70283"}}