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Updated: Aug 15, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
The Martius flap neovagina revisited
A E Green1, P F Escobar, N Neubaurer
1Department of Reproductive Biology, University Hospital of Cleveland, Case Western Reserve University, Cleveland, Ohio 44106, USA.
Abstract:
The Martius bulbocavernosus flap has been used frequently in the repair of various vaginal fistulas. It can also be a useful source for the construction of a neovagina if used in the appropriate patient. We present a case of a patient who underwent a total pelvic exenteration for recurrent cervical cancer. For her neovagina, a novel variation of the Martius flap was constructed. In carefully selected patients, this can be a useful option for neovagina reconstruction.
