Use of biological mesh in trans-anal treatment for recurrent recto-urethral fistula

International Urology and Nephrology, Sep 2017

Marco Inama

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Use of biological mesh in trans-anal treatment for recurrent recto-urethral fistula

Int Urol Nephrol Use of biological mesh in trans‑anal treatment for recurrent recto‑urethral fistula Marco Inama 0 Dear Editor 0 0 General Surgery Unit, Hospital “Dott. Pederzoli”, Via Monte Baldo 24, Peschiera del Garda , 37019 Verona , Italy Vol.:(011233456789) - I read with interest the letter by Deepak Batura about our paper entitled “Use of biological mesh in trans-anal treatment for recurrent recto-urethral fistula”. I thank the colleague for his accurate comments. I take this opportunity to clarify the following points: All 7 patients reported in the original article underwent double diversion at least 2 months before the author’s procedure. In this situation, no enteric preparation is necessary with a surgical field clean and ideal to use a mesh in a potential infected site. The biological mesh has a great capacity to progressively integrate itself; All 7 patients we described underwent extensive clinical investigations during serial follow-up visits that excluded urethral stricture, signs of infections or urethral sequelae. That is way the patients did not undergo extra examinations (endoscopic or bacteriological) once the stoma was closed. I hope this additional information will help to clarify your queries. Compliance with ethical standards Conflict of interest None.


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Marco Inama. Use of biological mesh in trans-anal treatment for recurrent recto-urethral fistula, International Urology and Nephrology, 2017, 2169-2169, DOI: 10.1007/s11255-017-1704-x