Combined Endorectal Advancement Flap with Alloderm ® Graft Repair of Radiation and Cryoablation-Induced Rectourethral Fistula

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Rectourethral fistula is a potentially devastating disease for the patient and difficult management problem for the physician. We report a case of radiation and salvage cryoablation-induced rectourethral fistula for treatment of prostate cancer successfully repaired with a combined endorectal advancement flap with Alloderm graft. The surgical technique is described in detail. The patient is now one year post-repair with no evidence of recurrence.