Perineal decubitus ulcer with urethro-cutaneous fistula has previously been reported in paraplegics as a late complication following bilateral ischiectomy. This case report illustrates the occurrence of the problem in a male paraplegic without bilateral ischiectomy, and this has not been previously reported in the English literature. Successful reconstruction was accomplished with a full thickness skin graft tube and and gracilis muscle flap.
Benatar D, Brzezinski A 1984 The use of full thickness skin grafts in the reconstruction of the male urethra. Annals of Plastic Surgery 13: 431–435.
Commar A E, Gors, E 1958 Perineal urethral diverticulua-Complications of removal of ischium. Journal of American Medical Association 168: 2000–2003.
Karaca A R, Binns A J, Blumenthal F S 1978 Complications of total ischiectomy for the treatment of ischial pressure sores. Plastic and Reconstructive Surgery 62: 96–99.
Labandter H P 1980 The gracilis muscle flap and musculocutaneous flap in the repair of perineal and ischial defects. British Journal of Plastic Surgery 33: 95–98
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Ramasastry, S., Granick, M. & Schwentker, F. Perineal decubitus ulcer with urethro-cutaneous fistula without bilateral ischiectomy: case report. Spinal Cord 24, 326–329 (1986). https://doi.org/10.1038/sc.1986.47
- urethro-cutaneous fistula
- perineal decubitus ulcer