<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852023000300007</article-id>
<article-id pub-id-type="doi">10.48193/revistamexicanadeurologa.v83i3.963</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fístulas urinarias complejas en niños: reparación mediante interposición de músculo gracillis]]></article-title>
<article-title xml:lang="en"><![CDATA[Complex urinary fistulas in children: repair with gracilis muscle flap interposition]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Sánchez]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabezalí-Barbacho]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tordable-Ojeda]]></surname>
<given-names><![CDATA[Cristina Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrero-López]]></surname>
<given-names><![CDATA[Lara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Fraile]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario 12 de Octubre  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Segovia  ]]></institution>
<addr-line><![CDATA[Segovia Castilla y León]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>83</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852023000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852023000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852023000300007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción de los casos:  Se presentan dos pacientes pediátricos en los que efectuó un colgajo de músculo gracillis para la reparación de una fístula urinaria compleja. Una niña de 12 años con extrofia cloacal y fistulización uretral secundaria a una desconexión cervicouretral, y un niño de 12 años con antecedente de rabdomiosarcoma vesicoprostático con una fístula rectouretral.  Relevancia:  La interposición de músculo gracillis se utiliza frecuentemente en adultos para reparar fístulas urinarias, con tasas de éxito del 70-90%. En pacientes pediátricos la experiencia reportada con esta técnica es escasa.  Implicaciones clínicas:  Consideramos que es factible el uso de músculo gracillis para reparar fístulas urinarias complejas en pacientes pediátricos, siendo una técnica segura y con buenos resultados a corto plazo.  Conclusiones:  La interposición del músculo gracillis es una técnica quirúrgica que debe considerarse en el tratamiento de fístulas urinarias complejas en niños.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Case description:  Two complex urinary fistulas were repaired in two pediatric patients using gracilis muscle flap interposition. A 12 year-old girl with cloacal exstrophy and urethral fistula secondary to a cervicourethral disconnection, and a 12 year-old boy with previous vesicoprostatic rhabdomyosarcoma and rectourethral fistula.  Relevance:  Gracilis muscle flap interposition is frequently used in adults to repair urinary fistulas, with a success of 70-90%. In pediatric patients, there is limited literature reporting results of this technique.  Clinical implications:  We consider that the use of gracilis muscle flap to repair urinary fistulas in children is feasible, being a safe technique with good short-term results.  Conclusions:  Gracilis muscle flap interposition should be considered as a surgical option in the treatment of complex urinary fistulas in children.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Children]]></kwd>
<kwd lng="en"><![CDATA[urinary fistula]]></kwd>
<kwd lng="en"><![CDATA[surgical flap]]></kwd>
<kwd lng="es"><![CDATA[Niños]]></kwd>
<kwd lng="es"><![CDATA[fistula urinaria]]></kwd>
<kwd lng="es"><![CDATA[colgajo quirúrgico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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