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Updated: Jul 13, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Two cases of urethrovaginal fistula repaired by Martius labial-rotation flap]
Tomonori Minagawa1, Haruaki Kato, Hiroo Inoue
1Department of Urology, Shinshu University School of Medicine.
Abstract:
Urethrovaginal fistulas are rare. In case 1, a 48-year-old woman had undergone transvaginal drainage for an paraurethral abscess. In case 2, a 33-year-old woman had undergone resection of vaginal varicocele with massive bleeding during pregnancy. Postoperatively both patients complained of total incontinence. Urethroscopy and urethrography revealed an urethrovaginal fistula in each case. Repair ofurethrovaginal fistula using Martius labial-rotation flap was performed and the fistula was closed in both cases. We concluded that repair of urethrovaginal fistula using Martius labial-rotation flap may be useful for patients with urethrovaginal fistula.