| ORIGINAL ARTICLE
|Year : 1999 | Volume
| Issue : 3 | Page : 69-73
Martius' 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
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 AND METHODS: 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.
S V Punekar
Department of Urology, Seth G. S. Medical College, Parel, Mumbai, India.
Source of Support: None, Conflict of Interest: None
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