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Martius repair in urethrovaginal defects.
Didem Baskin1, Soner Tatlidede, Semra Hacikerim Karşidağ
1Department of Pediatric Surgery, Sişli Etfal Education and Research Hospital, 34394 Istanbul, Turkey. didibas@tnn.net
Journal of Pediatric Surgery
|September 10, 2005
Summary
Martius fat-pad flap repair successfully treated urethrovaginal defects in two girls. This surgical technique offers good functional and cosmetic outcomes for pediatric patients with complex urogenital issues.
Area of Science:
- Pediatric Surgery
- Urology
- Reconstructive Surgery
Background:
- Urethrovaginal defects in children present significant surgical challenges.
- The Martius fat-pad flap repair has demonstrated success in adult female patients.
Observation:
- Two young girls with complex urethrovaginal defects, resulting from prior surgeries or congenital malformations, were treated.
- Both patients had undergone unsuccessful primary repair attempts prior to the Martius repair.
- Preoperative tissue reinforcement with topical estriol and asiaticoside was administered.
Findings:
- The Martius fat-pad flap repair was successfully performed using a labial fat-pad flap in both pediatric patients.
- Complete healing of the urethral wall was achieved postoperatively in both cases.
- Postoperative catheterization periods were managed successfully, with urethral catheter removal on day 14 and bladder catheter on day 21.
Implications:
- The Martius fat-pad flap repair is a viable and effective option for treating urethrovaginal fistulas in pediatric females.
- This reconstructive technique yields positive functional and cosmetic results.
- The reconstructed neourethra facilitates easy catheterization, crucial for long-term management.