The Martius Flap's Effectiveness in the Repair of Vesicovaginal Fistulae | [BMC journal of Medical Sciences • 2022]

Author(s):

1. Haris Hamid: Bannu medical college, Pakistan

2. Khalid Farooq: Lady Reading Hospital.,Peshawar, Pakistan

3. Israr Ali Khan: Bannu medical college, Pakistan

4. Zubaida Khanum: Bannu medical college, Pakistan

5. Rafi Ullah: Bannu medical college, Pakistan

6. Umar Ayub: MTI,Bannu,Pakistan

7. Mir Alam Jan: Peshawar Medical College, Pakistan

Abstract:

Objective: The study sought to determine the efficacy of the Martius flap in treating difficult VVF (Vesicovaginal fistula) greater than 2.5 cm in size. Study design: A descriptive case series Place and duration of study: From January 2018 to December 2020, this study was conducted in the department of urology at Khalifa Gulnawaz Teaching Hospital in Bannu. Methodology: The patients' case records were evaluated. Following a vaginal examination to establish leakage, all patients had cystoscopy to determine the fistulae, location, and tissue scarring. All patients had a CT urogram and cystogram, as well as a urine c/s. A modified Martius flap repair was carried out. They were released on the second surgical day and were monitored for three months. Results: Ninety individuals had vesicovaginal fistulas repaired using a modified Martius flap. The patients' average age was 35 years. Obstruction of labor was the most common etiological cause in 70 (77.7%) of the patients, followed by gynecological procedures in 16 (17.7%). Twenty patients (22.22% of the total) underwent surgery to treat recurrent fistula formation. After surgery, 7 (7.7%) patients exhibited stress incontinence and were treated conservatively with pelvic floor exercises. Three (3.3%) women had vaginal bleeding, and two (2.2%) had labial wound infections. Recurrence occurred in two (2.2%) of the patients. Conclusion: The modified Martius flap is a successful therapeutic method for vesicovaginal fistula with fewer complications and great aesthetic results.

Page(s): 38-41

DOI: DOI not available

Published: Journal: BMC journal of Medical Sciences, Volume: 3, Issue: 1, Year: 2022

Keywords:

Vesicovaginal fistula VVF , Urinary incontinence , Martius Flap

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