Martius' labial fat pad interposition and its modification in complex lower urinary fistulae.
J Postgrad Med
;
1999 Jul-Sep; 45(3): 69-73
Article
in English
| IMSEAR
| ID: sea-115607
ABSTRACT
OBJECTIVE:
To assess the results of Martius' labial fat pad interposition and its modification using skin island in the repair of giant and recurrent vesicovaginal and urethrovaginal fistulae. PATIENTS ANDMETHODS:
Fifteen patients of urethrovaginal and vesicovaginal fistulae underwent Martius' labial fat pad interposition and its skin island modification during 1996 to 1999. Ten of these were recurrent (66%) and five were giant fistulae (34%) i.e. more than five cms.RESULTS:
Results were very gratifying with a successful repair in 14 patients (93%). Two patients had transient, low-grade stress incontinence, which did not need any additional procedure. In one patient, there was failure of repair, which was later successfully repaired using fat pad from opposite labia.CONCLUSION:
Martius' fat pad interposition provides vascularity and surface for epithelialisation and also prevents overlapping of vesical/urethral and vaginal suture lines. Martius' repair has good results with low morbidity in the treatment of giant and recurrent urethrovaginal and vesicovaginal fistulae.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Recurrence
/
Surgical Flaps
/
Urethral Diseases
/
Female
/
Humans
/
Urinary Fistula
/
Vesicovaginal Fistula
Language:
English
Journal:
J Postgrad Med
Year:
1999
Type:
Article
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