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In elderly patients, testicular interposition flaps may be an excellent tissue option to use when vitalized tissue is necessary to supplement fistula repair. Elderly patients frequently have increased spermatic cord length, potentially offering a longer flap reach than use of a muscle flap. Additionally, mobilizing one of the testicles and developing it through the external inguinal ring may be a less morbid and less costly procedure than harvesting and tunneling a muscle flap. Longer follow-up and further studies are needed to determine the outcomes of this novel technique.<\/jats:p>","DOI":"10.1155\/2015\/836454","type":"journal-article","created":{"date-parts":[[2015,9,21]],"date-time":"2015-09-21T21:03:35Z","timestamp":1442869415000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["Testicular Interposition Flap for Repair of Perineal Urinary Fistulae: A Novel Surgical Technique"],"prefix":"10.1155","volume":"2015","author":[{"given":"Valary T.","family":"Raup","sequence":"first","affiliation":[{"name":"Division of Urology, Department of Surgery, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jairam R.","family":"Eswara","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA 02115, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen D.","family":"Marshall","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven B.","family":"Brandes","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"9","key":"1","first-page":"918","volume":"61","year":"2011","journal-title":"Journal of the Pakistan Medical Association"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-010-0602-3"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5347(01)67701-2"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.5812\/numonthly.14197"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2014.30.1.35"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.04.006"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0585-3"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0b013e31817d077d"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200304000-00008"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/dcr.0b013e318274dc87"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.08.004"},{"key":"12","first-page":"240","volume":"11","year":"2014","journal-title":"Pediatric Endocrinology Reviews"},{"issue":"5","key":"13","first-page":"351","volume":"13","year":"2009","journal-title":"European Review for Medical and Pharmacological Sciences"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.10.074"}],"container-title":["Case Reports in Urology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criu\/2015\/836454.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criu\/2015\/836454.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criu\/2015\/836454.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,8,19]],"date-time":"2016-08-19T03:23:39Z","timestamp":1471577019000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criu\/2015\/836454\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":14,"alternative-id":["836454","836454"],"URL":"https:\/\/doi.org\/10.1155\/2015\/836454","relation":{},"ISSN":["2090-696X","2090-6978"],"issn-type":[{"value":"2090-696X","type":"print"},{"value":"2090-6978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}