ANORRECTAL MALFORMATION WITH MANIFESTATION IN ADULTHOOD. MANAGEMENT WITH DARTOS FLAP. CASE REPORT
Abstract
Introduction: Anorectal malformation are a broad spectrum of congenital anomalies with a challenging diagnosis. Dartos flap is one of the options for transperineal approach to the repair of rectouretral fistulae in adults.
Materials and methods: We present a case of a patient with a rectourethral fistula (RUF) that required interposition with a Dartos flap.
Results: The RUF was corrected with interposition with a Dartos flap with a satisfactory postoperative period until subsequent colostomy closure.
Discussion: The use of the Dartos flap has shown to be a technique with excellent exposure and ease of flap advancement with better vascularization and minimal morbidity as it does not require an additional incision.
Conclusion: The Dartos flap has proven to be a safe option with good results for the treatment of rectourethral fistulas in patients with a history of previous complex perineal surgery.
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