Repair of traumatic urethral fistula and huge tissue defect with Lehoczky's island flap

A 20-years-old male patient suffered pelvic bone fracture and a penetrating urethral injury through the perineum due to a car accident. The injury and the unsuccessful reconstruction resulted in a large perineal tissue defect , urethral fistula, and dislocation of the anus close to the fistula, The a uthors performed a successful reconstruction; closure of the urethral fistu la, sinking of the anus to its proper place, and substitution of the missin g skin and subcutaneous tissue with Lehoczky's frap. The flap with its good blood supply and mass of tissue repaired the defect and promoted the rapid , functionally and cosmetically excellent result. (C) 2000 Editions scienti fiques et medicales Elsevier SAS.