A Case of Achieving Urinary Continence Using Gracilis Muscle Flap for Recanalization and Fistula After Bladder Neck Closure
ABSTRACT Introduction We present the case of a patient who achieved urinary continence after undergoing a gracilis muscle flap (GMF) for recanalization and fistula after bladder neck closure (BNC). Case Presentation A male patient with neurogenic lower urinary tract dysfunction complained of difficu...
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| Format: | Article |
| Language: | English |
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Wiley
2025-05-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.70012 |
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| author | Naoki Wada Haruka Takagi Taichiro Ishimaru Daiki Kikuchi Miyu Ohtani Hidehiro Kakizaki Takeshi Yamao Toshihiko Hayashi |
| author_facet | Naoki Wada Haruka Takagi Taichiro Ishimaru Daiki Kikuchi Miyu Ohtani Hidehiro Kakizaki Takeshi Yamao Toshihiko Hayashi |
| author_sort | Naoki Wada |
| collection | DOAJ |
| description | ABSTRACT Introduction We present the case of a patient who achieved urinary continence after undergoing a gracilis muscle flap (GMF) for recanalization and fistula after bladder neck closure (BNC). Case Presentation A male patient with neurogenic lower urinary tract dysfunction complained of difficulty inserting the catheter because of numerous false cavities in the prostatic urethra. We performed BNC to create a continent catheterizable stoma. However, the bladder neck was recanalized in the early postoperative period. Next, we dissected and closed the urethra transperineally. Due to the tiny fistula, the patient's urinary incontinence persisted. Finally, we dissected and closed the urethra again transperineally, and the closed area was covered with a GMF. Since then, the urethra has been completely closed, and urinary continence has been achieved. Conclusion The possibility of recanalization after BNC must be kept in mind. Interposition and covering of the GMF are useful techniques for urethral and perineal fistulas. |
| format | Article |
| id | doaj-art-3dcaf6093637448c9607874a9993dc42 |
| institution | OA Journals |
| issn | 2577-171X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj-art-3dcaf6093637448c9607874a9993dc422025-08-20T02:14:49ZengWileyIJU Case Reports2577-171X2025-05-018322723010.1002/iju5.70012A Case of Achieving Urinary Continence Using Gracilis Muscle Flap for Recanalization and Fistula After Bladder Neck ClosureNaoki Wada0Haruka Takagi1Taichiro Ishimaru2Daiki Kikuchi3Miyu Ohtani4Hidehiro Kakizaki5Takeshi Yamao6Toshihiko Hayashi7Department of Renal and Urologic Surgery Asahikawa Medical University Asahikawa JapanDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa JapanDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa JapanDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa JapanDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa JapanDepartment of Renal and Urologic Surgery Asahikawa Medical University Asahikawa JapanDepartment of Plastic and Reconstructive Surgery Asahikawa Medical University Asahikawa JapanDepartment of Plastic and Reconstructive Surgery Asahikawa Medical University Asahikawa JapanABSTRACT Introduction We present the case of a patient who achieved urinary continence after undergoing a gracilis muscle flap (GMF) for recanalization and fistula after bladder neck closure (BNC). Case Presentation A male patient with neurogenic lower urinary tract dysfunction complained of difficulty inserting the catheter because of numerous false cavities in the prostatic urethra. We performed BNC to create a continent catheterizable stoma. However, the bladder neck was recanalized in the early postoperative period. Next, we dissected and closed the urethra transperineally. Due to the tiny fistula, the patient's urinary incontinence persisted. Finally, we dissected and closed the urethra again transperineally, and the closed area was covered with a GMF. Since then, the urethra has been completely closed, and urinary continence has been achieved. Conclusion The possibility of recanalization after BNC must be kept in mind. Interposition and covering of the GMF are useful techniques for urethral and perineal fistulas.https://doi.org/10.1002/iju5.70012bladder neck closuregracilis muscle flapspina bifidaurinary continence |
| spellingShingle | Naoki Wada Haruka Takagi Taichiro Ishimaru Daiki Kikuchi Miyu Ohtani Hidehiro Kakizaki Takeshi Yamao Toshihiko Hayashi A Case of Achieving Urinary Continence Using Gracilis Muscle Flap for Recanalization and Fistula After Bladder Neck Closure IJU Case Reports bladder neck closure gracilis muscle flap spina bifida urinary continence |
| title | A Case of Achieving Urinary Continence Using Gracilis Muscle Flap for Recanalization and Fistula After Bladder Neck Closure |
| title_full | A Case of Achieving Urinary Continence Using Gracilis Muscle Flap for Recanalization and Fistula After Bladder Neck Closure |
| title_fullStr | A Case of Achieving Urinary Continence Using Gracilis Muscle Flap for Recanalization and Fistula After Bladder Neck Closure |
| title_full_unstemmed | A Case of Achieving Urinary Continence Using Gracilis Muscle Flap for Recanalization and Fistula After Bladder Neck Closure |
| title_short | A Case of Achieving Urinary Continence Using Gracilis Muscle Flap for Recanalization and Fistula After Bladder Neck Closure |
| title_sort | case of achieving urinary continence using gracilis muscle flap for recanalization and fistula after bladder neck closure |
| topic | bladder neck closure gracilis muscle flap spina bifida urinary continence |
| url | https://doi.org/10.1002/iju5.70012 |
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