case_images: PMC3517837_01
case_images: Perineal wound.
case_images: CRIM.UROLOGY2012-597839.001.jpg
case_images: PMC3517837_01_CRIM.UROLOGY2012-597839.001.jpg
case_images: fig1
case_images: The wound presented pus and haematic discharge and exposed spermatic cord and testis (Figure 1).
case_images: (a) Abdomen CT scan: left ureteral stone. (b) Abdomen CT scan: left hydronephrosis.
case_images: CRIM.UROLOGY2012-597839.002.jpg
case_images: PMC3517837_01_CRIM.UROLOGY2012-597839.002.jpg
case_images: fig2
case_images: Patient's urologic history had started two months earlier, when during oncological followup for metastatic prostate cancer, a CT scan showed a 15 mm left ureteral stone causing hydronephrosis (Figures 2(a) and 2(b)).
case_images: Abdomen CT scan: left urinoma, left ureteral stone, and left double J stent.
case_images: CRIM.UROLOGY2012-597839.003.jpg
case_images: PMC3517837_01_CRIM.UROLOGY2012-597839.003.jpg
case_images: fig3
case_images: Abdominal CT-scan showed (Figure 3) in the distal part of left ureter a 13 mm stone with a well-positioned double J stent and a 12 cm urinoma anterior to iliopsoas muscle as for ureteral leakage according to increased attenuation of urinoma in delayed imaging.
case_images: Voiding cystourethrogram.
case_images: CRIM.UROLOGY2012-597839.004.jpg
case_images: PMC3517837_01_CRIM.UROLOGY2012-597839.004.jpg
case_images: fig4
case_images: Abdominal CT scan: absence of the urinoma.
case_images: CRIM.UROLOGY2012-597839.005.jpg
case_images: PMC3517837_01_CRIM.UROLOGY2012-597839.005.jpg
case_images: fig5
case_images: A second CT scan was performed 10 days after nephrostomy and drain insertion showing complete absence of the urinoma (Figure 5).
case_images: Gracilis muscle.
case_images: CRIM.UROLOGY2012-597839.006.jpg
case_images: PMC3517837_01_CRIM.UROLOGY2012-597839.006.jpg
case_images: fig6
case_images: A longitudinal incision was made along the medial side of the thigh, making it possible to identify the gracilis muscle (Figure 6) and to mobilize it according to the McCraw technique.
case_images: Gracilis flap tunneled.
case_images: CRIM.UROLOGY2012-597839.007.jpg
case_images: PMC3517837_01_CRIM.UROLOGY2012-597839.007.jpg
case_images: fig7
case_images: To reach the perineal area, the muscle flap was tunneled (Figure 7) and fixed into position with 3-0 Polyglactin suture without tension.