{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:05:45Z","timestamp":1772168745827,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/f1000research.10245.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2017,2,13]],"date-time":"2017-02-13T00:00:00Z","timestamp":1486944000000}}],"reference-count":10,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2017,2,13]],"date-time":"2017-02-13T00:00:00Z","timestamp":1486944000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>\n                    High intensity focused ultrasound (HIFU) has come forward as alternative treatment for carcinoma of the prostate. Though minimally invasive,HIFUhas potential side effects. Urethrorectal fistula is one such rare side effect. Management of these fistulas has been described by Vanni\n                    <ns4:italic>et al.<\/ns4:italic>\n                  <\/ns4:p>\n                  <ns4:p>This case report describes points of technique that will help successful management of resilient rectourethral fistula. Urinary and faecal diversion in the form of suprapubic catheter and colostomy is vital. Adequate time between stoma formation, fistula closure and then finally stoma closure is needed. Lithotomy position and perineal approach gives best exposure to the fistula. The rectum should be dissected 2cm above the fistula; this aids in tension free closure of the rectal defect. Similarly buccal mucosal graft was used on the urethra to achieve tension free closure. A good vascular pedicle gracilis muscle flap is used to interpose between the two repairs. This not only provides a physical barrier but also provides a vascular bed for BMG uptake. Perfect haemostasis is essential, as any collection may become a site of infection thus compromising results.<\/ns4:p>\n                  <ns4:p>\u00a0We strongly recommend rectourethral fistula be directly repaired with gracilis muscle flap with reinforced buccal mucosa graft without attempting any less invasive repairs because the \u201cfirst chance is the best chance\u201d.<\/ns4:p>","DOI":"10.12688\/f1000research.10245.2","type":"journal-article","created":{"date-parts":[[2017,2,13]],"date-time":"2017-02-13T06:40:20Z","timestamp":1486968020000},"page":"2891","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Use of reinforced buccal mucosa graft over gracilis muscle flap in management of post high intensity focused ultrasound (HIFU) rectourethral fistula"],"prefix":"10.12688","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6541-6283","authenticated-orcid":false,"given":"Shrikant","family":"Jai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2678-0634","authenticated-orcid":false,"given":"Arvind","family":"Ganpule","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhishek","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohankumar","family":"Vijaykumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinod","family":"Bopaiah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravindra","family":"Sabnis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahesh","family":"Desai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2017,2,13]]},"reference":[{"key":"ref-1","doi-asserted-by":"publisher","first-page":"381-7","DOI":"10.1016\/j.eururo.2006.04.012","article-title":"Control of prostate cancer by transrectal HIFU in 227 patients.","volume":"51","author":"L Poissonnier","year":"2007","journal-title":"Eur Urol."},{"key":"ref-2","doi-asserted-by":"publisher","first-page":"297-300","DOI":"10.1016\/j.urology.2003.09.020","article-title":"High-intensity focused ultrasound for the treatment of localized prostate cancer: 5-year experience.","volume":"63","author":"A Blana","year":"2004","journal-title":"Urology."},{"key":"ref-3","doi-asserted-by":"crossref","first-page":"124-5","DOI":"10.1016\/S0022-5347(17)56282-5","article-title":"Gracilis muscle flap for closure of rectourethral fistula.","volume":"122","author":"J Ryan","year":"1979","journal-title":"J Urol."},{"key":"ref-4","doi-asserted-by":"publisher","first-page":"81-4","DOI":"10.2298\/ACI0602081R","article-title":"Recto-vaginal\/urethral fistula: repair with gracilis muscle transposition.","volume":"53","author":"M Rabau","year":"2006","journal-title":"Acta Chir 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Urol."},{"key":"ref-8","doi-asserted-by":"publisher","first-page":"385-9","DOI":"10.1046\/j.1464-410X.2001.02344.x","article-title":"The Barbagli procedure gives the best results for patch urethroplasty of the bulbar urethra.","volume":"88","author":"D Andrich","year":"2001","journal-title":"BJU Int."},{"key":"ref-9","doi-asserted-by":"publisher","first-page":"2400-4","DOI":"10.1016\/j.juro.2010.08.004","article-title":"Management of surgical and radiation induced rectourethral fistulas with an interposition muscle flap and selective buccal mucosal onlay graft.","volume":"184","author":"A Vanni","year":"2010","journal-title":"J Urol."},{"key":"ref-10","doi-asserted-by":"publisher","first-page":"994-7","DOI":"10.1007\/BF02236689","article-title":"Management of iatrogenic rectourethral fistula.","volume":"42","author":"D Nyam","year":"1999","journal-title":"Dis Colon Rectum."}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/5-2891\/v2\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/5-2891\/v2\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/5-2891\/v2\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,6]],"date-time":"2018-12-06T10:32:27Z","timestamp":1544092347000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/5-2891\/v2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,13]]},"references-count":10,"URL":"https:\/\/doi.org\/10.12688\/f1000research.10245.2","relation":{"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.11661.r20161","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.11661.r20161","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,13]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/5-2891\/v2#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.11034.r18843, Sanjay B. Kulkarni, Pankaj Joshi, Kulkarni Reconstructive Urology Center, Pune, Maharashtra, India, 29 Dec 2016, version 1, 1 approved, 1 approved with reservations","URL":"https:\/\/f1000research.com\/articles\/5-2891\/v1#referee-response-18843","order":0,"name":"referee-response-18843","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.11661.r20161, Alex J. Vanni, Department of Urology, Institute of Urology, Lahey Hospital & Medical Center, Tufts University School of Medicine, Burlington, MA, USA, 13 Feb 2017, version 2, indexed","URL":"https:\/\/f1000research.com\/articles\/5-2891\/v2#referee-response-20161","order":1,"name":"referee-response-20161","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Data associated with the article are available under the terms of the Creative Commons Zero \"No rights reserved\" data waiver (CC0 1.0 Public domain dedication).","order":0,"name":"copyright-info","label":"Copyright"}]}}