{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T16:48:48Z","timestamp":1754153328881,"version":"3.41.2"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n    Es wird von einem 36-j\u00e4hrigen Patienten berichtet, der beim Miktionieren Urin perianal aus einem kutanen Porus verliert. Nach entsprechender Diagnostik wird die Diagnose einer urethrokutanen Fistel aus der prostatischen Harnr\u00f6hre unklarer \u00c4tiologie gestellt. Aufgrund des jungen Alters und der sexuellen Aktivit\u00e4t, stellt die chirurgische Therapie eine Herausforderung dar. \u00dcber einen perinealen Zugang wird die Fistel isoliert und prostatanah ligiert, ohne die Gef\u00e4\u00dfnervenb\u00fcndel zu gef\u00e4hrden. Um einen sicheren Fistelverschluss zu erzielen, wird anschlie\u00dfend ein Gracilis-Flap als Zwischenschicht zwischen Prostatahinterfl\u00e4che und perkutanem Fistelausgang gelegt. Bis dato ist kein Fall einer erfolgreichen chirurgischen Therapie einer prostatokutanen Urinfistel beschrieben, die funktionserhaltend durchgef\u00fchrt werden konnte.\n    <\/jats:p>","DOI":"10.1055\/a-2201-6302","type":"journal-article","created":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T19:26:35Z","timestamp":1701717995000},"page":"361-366","source":"Crossref","is-referenced-by-count":0,"title":["Funktionsprotektiver Verschluss einer urethrokutanen Fistel der prostatischen Harnr\u00f6hre \u00fcber einen perinealen Zugang mit Gracilis-Flap"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2045-5005","authenticated-orcid":false,"given":"Mathias","family":"Reichert","sequence":"additional","affiliation":[{"name":"Urologie, Universit\u00e4tsmedizin G\u00f6ttingen, Georg-August-Universit\u00e4t, G\u00f6ttingen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Stepniewski","sequence":"additional","affiliation":[{"name":"Plastische und \u00c4sthetische Chirurgie, Universit\u00e4tsmedizin G\u00f6ttingen, Georg-August-Universit\u00e4t, G\u00f6ttingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian","family":"Grade","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Kinderchirurgie, Universit\u00e4tsmedizin G\u00f6ttingen, Georg-August-Universit\u00e4t, G\u00f6ttingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunther","family":"Felmerer","sequence":"additional","affiliation":[{"name":"Plastische und \u00c4sthetische Chirurgie, Universit\u00e4tsmedizin G\u00f6ttingen, Georg-August-Universit\u00e4t, G\u00f6ttingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lutz","family":"Trojan","sequence":"additional","affiliation":[{"name":"Urologie, Universit\u00e4tsmedizin G\u00f6ttingen, Georg-August-Universit\u00e4t, G\u00f6ttingen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirjam Naomi","family":"Mohr","sequence":"additional","affiliation":[{"name":"Urologie, Universit\u00e4tsmedizin G\u00f6ttingen, Georg-August-Universit\u00e4t, G\u00f6ttingen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,12,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1590\/S1677-5538.IBJU.2020.0476","article-title":"Urorectal fistula repair using different approaches: operative results and quality of life issues","volume":"47","author":"JC Angulo","year":"2021","journal-title":"Int Braz J Urol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1590\/s1807-59322007000600007","article-title":"The York-Mason technique for recto-urethral fistulas","volume":"62","author":"A Crippa","year":"2007","journal-title":"Clinics (Sao Paulo)"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"239","DOI":"10.5173\/ceju.2013.02.art33","article-title":"Ureterocolic fistula secondary to a self-expanding retrievable ureteral stent","volume":"66","author":"G Ransford","year":"2013","journal-title":"Cent European J Urol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1007\/BF02564742","article-title":"Use of fibrin sealant in the treatment of prostatic cutaneous fistula in a case of Pseudomonas prostatitis","volume":"27","author":"R Felipetto","year":"1995","journal-title":"Int Urol Nephrol"},{"key":"ref5","first-page":"94","article-title":"Successful closure of a recto-prostatic fistula","volume":"52","author":"KB Koh","year":"1997","journal-title":"Med J Malaysia"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1007\/s00120-022-01924-2","article-title":"Verschluss einer persistierenden urethrorektalen Fistel nach suprasymphys\u00e4rer Adenomenukleation der Prostata durch kombiniertes Bressel-Naujox- mit einem Gracilisflapverfahren [Closure of persisting rectourethral fistula after suprasymphyseal adenoma enucleation of the prostate by combining the Bressel-Naujox and gracilis flap procedure]","volume":"62","author":"M Reichert","year":"2023","journal-title":"Urologie"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/s0022-5347(17)56282-5","article-title":"Gracilis muscle flap for closure of rectourethral fistula","volume":"122","author":"JA Ryan Jr","year":"1979","journal-title":"J Urol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1007\/BF02236689","article-title":"Management of iatrogenic rectourethral fistula","volume":"42","author":"DC Nyam","year":"1999","journal-title":"Dis Colon Rectum"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1007\/s11934-017-0708-5","article-title":"State of the Art for Treatment of Vesicovaginal Fistula","volume":"18","author":"RA Moses","year":"2017","journal-title":"Curr Urol Rep"}],"container-title":["Aktuelle Urologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2201-6302.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T23:12:21Z","timestamp":1753225941000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2201-6302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,4]]},"references-count":9,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,7,22]]},"published-print":{"date-parts":[[2025,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2201-6302","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0001-7868","1438-8820"],"issn-type":[{"type":"print","value":"0001-7868"},{"type":"electronic","value":"1438-8820"}],"subject":[],"published":{"date-parts":[[2023,12,4]]}}}