Journal of Postgraduate Medicine
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ORIGINAL ARTICLE
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Year : 1999  |  Volume : 45  |  Issue : 3  |  Page : 69-73  

Martius«SQ» labial fat pad interposition and its modification in complex lower urinary fistulae.

SV Punekar, DN Buch, AB Soni, G Swami, SR Rao, JS Kinne, SS Karhadkar 
 Department of Urology, Seth G. S. Medical College, Parel, Mumbai, India., India

Correspondence Address:
S V Punekar
Department of Urology, Seth G. S. Medical College, Parel, Mumbai, India.
India

OBJECTIVE: To assess the results of Martius«SQ» labial fat pad interposition and its modification using skin island in the repair of giant and recurrent vesicovaginal and urethrovaginal fistulae. PATIENTS AND METHODS: Fifteen patients of urethrovaginal and vesicovaginal fistulae underwent Martius«SQ» 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«SQ» fat pad interposition provides vascularity and surface for epithelialisation and also prevents overlapping of vesical/urethral and vaginal suture lines. Martius«SQ» repair has good results with low morbidity in the treatment of giant and recurrent urethrovaginal and vesicovaginal fistulae.


How to cite this article:
Punekar S V, Buch D N, Soni A B, Swami G, Rao S R, Kinne J S, Karhadkar S S. Martius' labial fat pad interposition and its modification in complex lower urinary fistulae. J Postgrad Med 1999;45:69-73


How to cite this URL:
Punekar S V, Buch D N, Soni A B, Swami G, Rao S R, Kinne J S, Karhadkar S S. Martius' labial fat pad interposition and its modification in complex lower urinary fistulae. J Postgrad Med [serial online] 1999 [cited 2020 Apr 8 ];45:69-73
Available from: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=1999;volume=45;issue=3;spage=69;epage=73;aulast=Punekar;type=0


 
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