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Martius' labial fat pad interposition and its modification in complex lower urinary fistulae
S V Punekar1, D N Buch, A B Soni
1Department of Urology, Seth G. S. Medical College, Parel, Mumbai, India.
Journal of Postgraduate Medicine
|March 29, 2000
Summary
Martius
Area of Science:
- Urology
- Gynecology
- Reconstructive Surgery
Background:
- Vesicovaginal and urethrovaginal fistulae present complex reconstructive challenges.
- Recurrent and giant fistulae, defined as >5 cm, require robust surgical techniques.
Purpose of the Study:
- To evaluate the efficacy of Martius' labial fat pad interposition.
- To assess the modified technique using a skin island for fistula repair.
Main Methods:
- Fifteen patients with recurrent or giant vesicovaginal/urethrovaginal fistulae underwent repair.
- The procedure involved Martius' labial fat pad interposition with skin island modification.
Main Results:
- A high success rate of 93% (14/15 patients) was achieved.
- One case of repair failure was successfully managed with a secondary procedure.
Conclusions:
- Martius' fat pad interposition offers excellent vascularity and promotes epithelialization.
- This technique effectively prevents suture line overlap, leading to favorable outcomes in complex fistula repair.