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Martius flap harvest site: patient self-perception
Steven P Petrou1, Joyce Jones, Raul O Parra
1Department of Urology, Mayo Clinic, Jacksonville, Florida 32224, USA.
The Journal of Urology
|April 17, 2002
Summary
Patient perception of the Martius flap harvest site for urethral reconstruction shows minimal cosmetic concerns and little impact on sexual function. Some patients experience temporary discomfort and decreased sensation post-surgery.
Area of Science:
- Urology
- Plastic Surgery
- Female Genitourinary Reconstruction
Background:
- The Martius flap is a common surgical technique for urethral reconstruction.
- Patient satisfaction with cosmetic outcomes and functional impact is crucial for quality of life.
Purpose of the Study:
- To evaluate patient perception of the external genitalia after Martius flap harvesting.
- To assess cosmetic appearance, pain, sensation, and sexual function following the procedure.
Main Methods:
- Eight women undergoing Martius interposition flap for transvaginal urethrolysis were surveyed.
- An independent nurse assessed cosmetic appearance, pain, numbness, and sexual relations.
Main Results:
- 25% reported no change, 25% minimal changes, and 12% marked difference in appearance.
- 13% experienced dyspareunia, 38% had intermittent discomfort, and 62% reported decreased sensation or numbness.
Conclusions:
- Martius flap harvesting is associated with minimal perceived cosmetic disfigurement.
- The procedure has a limited effect on sexual relations, with minimal postoperative discomfort.
- Numbness or decreased sensation at the harvest site is a potential long-term outcome.